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Individual

JULIO PABLO RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6490 MOUNT MORIAH ROAD EXT, SUITE 200, MEMPHIS, TN 38115-3729
(901) 565-0244
(901) 565-0616
Mailing address
PO BOX 752743, MEMPHIS, TN 38175-2743
(901) 565-0244
(901) 565-0616

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
14580
MS
207RN0300X
Nephrology Physician
Primary
25900
TN
207RN0300X
Nephrology Physician
E0222
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0120636
MS
05
052203
TN
05
125721001
AR
01
1723309
CIGNA
05
3086649
TN
01
4010137
BLUE CROSS BLUE SHIELD
TN
01
5J496
BLUE CROSS BLUE SHIELD
AR
Enumeration date
03/14/2006
Last updated
08/11/2010
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