Basic Information
| Provider Information | |||||||||
| NPI: | 1417330036 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZUPRUK | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | CHRISTOPHER | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5450 FRANTZ RD STE 360 | ||||||||
| Address2: | |||||||||
| City: | DUBLIN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430164141 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6145441401 | ||||||||
| FaxNumber: | 6145441403 | ||||||||
| Practice Location | |||||||||
| Address1: | 4343 ALL SEASONS DR STE 140 | ||||||||
| Address2: | |||||||||
| City: | HILLIARD | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430261962 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6145441401 | ||||||||
| FaxNumber: | 6145441403 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/01/2015 | ||||||||
| LastUpdateDate: | 09/29/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/29/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | OT016520 | PA | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207XX0801X | 34.014506 | OH | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Orthopaedic Trauma | 207X00000X | 34.014506 | OH | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.