Individual provider · Type 1 NPI

Todd W. Rupper, CMCH

Student in an Organized Health Care Education/Training Program · Provo, UT

NPI number 1487474763 Active

Practice location

589 S State St
Provo, UT 84606-5056

Mailing address

745 S Skylake Dr
Woodland Hills, UT 84653-2061

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487474763

Todd W. Rupper, CMCH's National Provider Identifier is 1487474763, issued on Oct 12, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Provo, UT. The record was last updated on Oct 12, 2024.