Individual
DR. HARRY ROY RUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1107 COLLEGE AVE, STE 2, QUINCY, IL 62301-2664
(217) 228-3377
(217) 228-2657
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4038
(217) 222-6550
(217) 277-2253
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036068434
IL
207Y00000X
Otolaryngology Physician
R7A18
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068434
—
IL
Enumeration date
02/23/2006
Last updated
02/08/2010
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