Individual
DR. BRIAN CHARLES RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7843 NEVOIS LN, EAST CARONDELET, IL 62240-1535
(618) 286-4438
Mailing address
7843 NEVOIS LN, EAST CARONDELET, IL 62240-1535
(618) 286-4438
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-068269
IL
207R00000X
Internal Medicine Physician
2001026972
MO
Other
Enumeration date
10/26/2006
Last updated
04/19/2011
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