JACK RUPP

WESTERVILLE, OH
NPI1477595429
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OH  35-03-8607-R)
Enumeration Date2006-06-12
Last Update Date2007-07-08
Business Address
-- JACK RUPP
555 W SCHROCK RD A
WESTERVILLE, OH 43081-8702
Phone number: 614-891-0005
Mailing Address
-- JACK RUPP
PO BOX 951603
CLEVELAND, OH 44193-0018
Phone number: