| NPI | 1518970243 |
|---|---|
| Doing Business As | RUPERT PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | J JORGE GORDINHO Supervisor Physician Owner 304-254-9022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2008-04-16 |