Individual
JOSE RAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
129 N 8TH ST, EAST ST LOUIS, IL 62201-2917
(618) 482-7242
(314) 810-1399
Mailing address
38 COUNTRY CLUB DR, EDWARDSVILLE, IL 62025-3707
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Enumeration date
06/13/2005
Last updated
07/08/2007
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