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Individual

DR. JACK RICHARD RUOPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3232 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63701-4904
(573) 335-7349
(573) 335-4055
Mailing address
3232 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63701-4904
(573) 335-7349
(573) 335-4055

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005204
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
112039
HEALTHLINK
MO
01
12624
BLUECROSSBLUESHIELD
MO
Enumeration date
01/30/2007
Last updated
07/08/2007
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