Individual
DR. RUTENDO NKOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 MEMORIAL DR STE 210, ALTON, IL 62002-6751
(618) 463-0649
(618) 465-3390
Mailing address
4 MEMORIAL DR STE 210, ALTON, IL 62002-6751
(618) 463-0649
(618) 465-3390
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036149842
IL
208000000X
Pediatrics Physician
125.069063
IL
Other
Enumeration date
06/06/2016
Last updated
12/27/2021
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