Individual
TODD W RUPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMCH
Contact information
Practice address
589 S STATE ST, PROVO, UT 84606-5056
(801) 429-2000
Mailing address
745 S SKYLAKE DR, WOODLAND HILLS, UT 84653-2061
(801) 369-9668
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/12/2024
Last updated
10/12/2024
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