Individual
RUBEN ULLOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110-1003
(314) 747-0553
Mailing address
660 S EUCLID AVE, MS 8115-06-805F, ST LOUIS, MO 63110
(314) 747-0553
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2023019834
MO
Other
Enumeration date
04/23/2022
Last updated
06/19/2023
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