Individual
DR. ROBERT EDWARD RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
165 HIGHWAY 50, STATELINE, NV 89449-9816
(775) 589-8950
(775) 588-1299
Mailing address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7026
(530) 543-5659
(530) 541-8723
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
8856
NV
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
A67307
CA
Other
Enumeration date
07/20/2005
Last updated
07/16/2025
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