Individual
DR. MICHAEL RICHARD RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 E LOHMAN AVE STE A, LAS CRUCES, NM 88011-8287
(575) 522-6500
(575) 522-0591
Mailing address
3800 E LOHMAN AVE STE A, LAS CRUCES, NM 88011-8287
(575) 522-6500
(575) 522-0591
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD2006-0458
NM
207KA0200X
Allergy Physician
MD2006-0458
NM
Other
Enumeration date
05/16/2006
Last updated
01/30/2019
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