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Individual

DR. RUTH ELLEN VANDERPLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
47647 CALEO BAY DR, SUITE 250, LA QUINTA, CA 92253-8854
(760) 777-7993
(760) 777-4244
Mailing address
47647 CALEO BAY DR, SUITE 250, LA QUINTA, CA 92253-8854
(760) 777-7993
(760) 777-4244

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A88507
CA
208D00000X
General Practice Physician
A88507
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A885070
BLUE SHIELD PIN
CA
Enumeration date
09/13/2006
Last updated
08/19/2022
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