Individual
GARRY H RUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5877 CLEVELAND AVE, COLUMBUS, OH 43231-2859
(614) 891-0550
(614) 891-0429
Mailing address
PO BOX 183027 DEPT LB-05, COLUMBUS, OH 43218-3027
(614) 891-0550
(614) 891-0429
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
35-03-1374
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0245587
—
OH
Enumeration date
07/12/2005
Last updated
11/19/2007
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