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Individual

ELIAS DAVID RUIZ VALDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
557 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 873-5661
Mailing address
PO BOX 2530, DAVIDSON, NC 28036-2530
(980) 201-1340

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD184516
OR
207R00000X
Internal Medicine Physician
MD60767682
WA
208M00000X
Hospitalist Physician
Primary
MD184516
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1364884
CO
01
MD184516
OREGON LICENSE
OR
Enumeration date
09/27/2006
Last updated
08/24/2023
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