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Individual

RICHARD HEINRICH RUPKALVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2222 N NEVADA AVENUE, COLORADO SPRINGS, CO 80907
(719) 776-5000
Mailing address
PO BOX 744127, DALLAS, TX 75374
(719) 776-5816
(719) 776-2108

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
38607
CO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
38607
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
85102245
CO
Enumeration date
08/04/2006
Last updated
12/17/2007
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