Individual
MATTHEW RUYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9930 WATSON RD, SAINT LOUIS, MO 63126-1827
(314) 984-8827
(314) 984-0736
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 984-8827
(314) 984-0736
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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