Individual
MR. DAVID THOMAS RUPERT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
166 MEMORIAL CT, JACKSONVILLE, NC 28546-3209
(910) 353-9565
Mailing address
200 HAMPSHIRE PL, JACKSONVILLE, NC 28546-3209
(910) 353-2863
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
124495
NC
Other
Enumeration date
01/11/2006
Last updated
07/08/2007
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