Individual
BERT W RAPPOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 S MAIN ST, SUITE 170, JAMESTOWN, NY 14701-6626
(716) 483-1183
(716) 483-2445
Mailing address
15 S MAIN ST, SUITE 170, JAMESTOWN, NY 14701-6626
(716) 483-1183
(716) 483-2445
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
099765
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000698887
—
PA
05
—
00482366
—
NY
Enumeration date
06/15/2006
Last updated
01/28/2009
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