Individual
MATTHEW RUYLE
Active
Individual
MATTHEW RUYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2000146142
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010614
ESSENCE
MO
05
—
036107200
—
IL
01
—
144352
BCBS
MO
01
—
1602596
UHC
MO
01
—
189744
GHP
MO
05
—
208745703
—
MO
01
—
44925V3431
HEALTHCARE USA
MO
01
—
539150
HEALTHLINK
—
01
—
7614525
AETNA
MO
01
—
889862
MERCY CARE
MO
01
—
H62074
MERCY
MO
Enumeration date
11/10/2005
Last updated
09/28/2012
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