Individual
DR. RONALD V HUBLALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-1625
(217) 544-6464
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-117104
IL
2085R0202X
Diagnostic Radiology Physician
2004001951
MO
2085R0202X
Diagnostic Radiology Physician
MD462725
PA
Other
Enumeration date
02/05/2007
Last updated
02/28/2024
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