IndividualActive
Randall Rupper, MD, MPH
NPI 1457398703 · Geriatric Medicine (Internal Medicine) Physician · Salt Lake City, UT
Provider details
- NPI number
- 1457398703
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MPH
- Sex
- Male
- Sole proprietor
- No
- License
- 5368958-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
Grecc (182) Bldg. 2, Vamc
500 Foothill Drive
Salt Lake City, UT 84148-0001
Phone: (801) 582-1565
Fax: (801) 584-5640
Approximate (ZIP-level) locationGet directions
Mailing address
Grecc (182) Bldg. 2, Vamc
Salt Lake City, UT 84148-0001
Registry dates
- Enumerated
- 2006-06-02
- Last updated
- 2021-11-17
- Certified
- 2021-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.