Organization
ROBERT D RUPERT JR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DEAN RUPERT JR. M.D. (DOCTOR OF MEDICINE)
(614) 882-3776
Entity
Organization
Contact information
Practice address
1492 E BROAD ST, COLUMBUS, OH 43205-1546
(614) 257-2094
(614) 257-2812
Mailing address
700 ACKERMAN RD, SUITE 270, COLUMBUS, OH 43202-1559
(614) 947-3700
(614) 947-3776
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
193400000X
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0891414
—
OH
Enumeration date
12/31/2008
Last updated
04/16/2009
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