Individual
THERESA ANNE RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
65 BRICKYARD ROAD, DILLWYN, VA 23936-0030
(434) 983-2722
(434) 983-1383
Mailing address
PO BOX 75268, BALTIMORE, MD 21275-5268
(434) 654-7794
(434) 654-7752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101045988
VA
Other
Enumeration date
06/16/2005
Last updated
09/11/2013
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