Individual
DR. RANDALL W. RUPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
GRECC (182) BLDG. 2, VAMC, 500 FOOTHILL DRIVE, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-5640
Mailing address
GRECC (182) BLDG. 2, VAMC, 500 FOOTHILL DRIVE, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-5640
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
5368958-1205
UT
Other
Enumeration date
06/02/2006
Last updated
11/17/2021
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