Individual
HALEY RUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13207 RAVENNA RD, CHARDON, OH 44024-7032
(440) 285-6000
Mailing address
13207 RAVENNA RD, CHARDON, OH 44024-7032
(440) 214-3111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005742RX
OH
Other
Enumeration date
10/10/2018
Last updated
05/27/2025
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