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Individual

ERIC M. RUOCCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6000 HOSPITAL DR, HANNIBAL, MO 63401-6887
(573) 248-1300
Mailing address
PO BOX 551, HANNIBAL, MO 63401-0551
(573) 248-5401
(573) 248-5419

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036.117725
IL
207L00000X
Anesthesiology Physician
Primary
101102
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208041921
MO
Enumeration date
09/20/2005
Last updated
04/08/2025
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