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Individual

JOSHUA D RUOPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-5118
(717) 782-5854
Mailing address
111 S FRONT ST, HARRISBURG, PA 17101-2010

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN304288L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50063418
CAPITAL BLUE CROSS
PA
01
550126
HIGHMARK BLUE SHIELD
PA
01
P00365021
RAILROAD MEDICARE
PA
01
RN304288L
LICENSE
PA
01
S75554
HEALTHAMERICA
PA
Enumeration date
07/01/2006
Last updated
04/09/2021
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