| Timothy Rupp Md Pc | |
|
1267 Willis St Ste 200 Redding CA 96001-0400 | |
| (760) 534-8193 | |
| Not Available |
| Full Name | Timothy Rupp Md Pc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 1267 Willis St Ste 200, Redding, California |
| Authorized Official Name and Position | Jana Spedaliere (LEAD NURSE PRACTITIONER) |
| Authorized Official Contact | 7605348193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Rupp Md Pc 1267 Willis St Ste 200 Redding CA 96001-0400 Ph: (760) 534-8193 | Timothy Rupp Md Pc 1267 Willis St Ste 200 Redding CA 96001-0400 Ph: (760) 534-8193 |
| NPI Number | 1316646359 |
|---|---|
| Provider Enumeration Date | 02/28/2023 |
| Last Update Date | 02/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316646359 | NPI | - | NPPES |
| 123456789 | Other | CA | NEW PRACTICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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