Healthcare Provider Details

I. General information

NPI: 1487755591
Provider Name (Legal Business Name): DAVID F RIMPLE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 03/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 WYOMING AVE
KINGSTON PA
18704-3702
US

IV. Provider business mailing address

610 WYOMING AVE
KINGSTON PA
18704-3702
US

V. Phone/Fax

Practice location:
  • Phone: 570-288-5441
  • Fax: 570-288-5842
Mailing address:
  • Phone: 570-288-5441
  • Fax: 570-288-5842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD027410L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: