Active NPI 1467402867 Individual Practitioner Male Practitioner

Dr. Craig Richard Ruble , MD

Orthopaedic Surgery • Festus, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Craig Ruble, MD is a certified Orthopaedic Surgery practicing in Festus, MO. With approximately 30 years of clinical experience since graduating from University Of Missouri, Kansas City, School Of Medicine in 1996, Dr. Ruble delivers high-quality medical care to the local community at 1390 HIGHWAY 61.

Dr. Ruble is affiliated with Mercy Clinic Surgical Specialists Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1390 Highway 61
Jhm Moc Suite G1000

Festus, MO 630284137

Telephone 6369337400

Fax 6369337403

Associated Practice Facility / Clinic

🏢 Metro Heart Group Of St. Louis, Inc. Facility NPI 1487650545

Medicare Profile & Education

Medical School

University Of Missouri, Kansas City, School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Festus, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +5.2 yrs vs City Avg

City Avg: 24.8 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

8 Specialists

Practicing in Festus, MO (550 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ruble (30 Years) 30 Yrs

Festus Specialty Average (24.8 Years) 24.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	11,321	84	$0.35	$0.13
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,888	19	$29.00	$17.38
99213 Established patient office or other outpatient visit, typically 15 minutes	224	149	$131.00	$86.23
20610 Aspiration and/or injection of fluid from large joint	187	104	$191.66	$68.32
73564 X-ray of knee, 4 or more views	105	86	$122.99	$56.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	73	$195.00	$119.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	54	$371.00	$165.80
73030 X-ray of shoulder, minimum of 2 views	52	33	$72.40	$29.47
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	28	$77.00	$47.44
J1040 Injection, methylprednisolone acetate, 80 mg	43	28	$26.00	$9.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$189.00	$105.32
73502 X-ray of hip, 2-3 views	41	32	$93.37	$41.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$302.00	$160.86
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	24	$121.00	$51.20
27447 Replacement of knee joint, both sides of knee	20	20	$3210.00	$1242.33
27130 Replacement of thigh bone and hip joint with prosthesis	16	14	$3212.00	$1238.50
29876 Removal of joint lining from multiple knee joint compartments using an endoscope	15	15	$1549.00	$635.18
29881 Removal of knee cartilage using an endoscope	15	15	$1274.00	$148.31
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	15	15	$2831.00	$1147.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$253.00	$124.90
73522 X-ray of both hips, 3-4 views	14	12	$84.86	$43.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,986	23	$29.00	$16.74
J1040 Injection, methylprednisolone acetate, 80 mg	244	115	$26.00	$11.68
99213 Established patient office or other outpatient visit, typically 15 minutes	233	154	$131.00	$88.70
20610 Aspiration and/or injection of fluid from large joint	227	121	$185.02	$68.71
73564 X-ray of knee, 4 or more views	189	108	$95.62	$44.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	101	$195.00	$124.54
73502 X-ray of hip, 2-3 views	61	42	$69.77	$31.31
73030 X-ray of shoulder, minimum of 2 views	61	35	$65.21	$27.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$302.00	$164.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$189.00	$110.81
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	34	33	$121.00	$51.54
27447 Replacement of knee joint, both sides of knee	34	32	$3210.00	$1276.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	31	$371.00	$172.05
73130 X-ray of hand, minimum of 3 views	19	14	$71.58	$37.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$253.00	$129.05
73522 X-ray of both hips, 3-4 views	15	12	$79.20	$41.64
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	13	13	$2831.00	$1187.72
29876 Removal of joint lining from multiple knee joint compartments using an endoscope	12	12	$1549.00	$652.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$79.00	$55.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	4,416	54	$29.00	$16.99
99213 Established patient office or other outpatient visit, typically 15 minutes	279	183	$131.00	$90.52
73564 X-ray of knee, 4 or more views	268	120	$77.11	$36.18
20610 Aspiration and/or injection of fluid from large joint	259	146	$190.61	$74.05
J1040 Injection, methylprednisolone acetate, 80 mg	170	95	$26.00	$11.18
73030 X-ray of shoulder, minimum of 2 views	153	65	$53.02	$22.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	111	$195.00	$126.11
J1030 Injection, methylprednisolone acetate, 40 mg	126	43	$14.00	$5.94
73502 X-ray of hip, 2-3 views	118	47	$57.22	$26.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$302.00	$165.74
73610 X-ray of ankle, minimum of 3 views	64	16	$37.64	$18.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$187.05	$107.83
73110 X-ray of wrist, minimum of 3 views	63	20	$47.05	$24.01
73130 X-ray of hand, minimum of 3 views	51	23	$46.67	$24.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	34	$371.00	$196.78
73522 X-ray of both hips, 3-4 views	33	18	$54.97	$28.97
27447 Replacement of knee joint, both sides of knee	23	22	$3079.43	$1245.17
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	21	$121.00	$52.98
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	14	14	$2799.00	$1205.03
20550 Injection into tendon or ligament	13	11	$169.00	$49.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	5,216	87	$29.32	$17.92
99213 Established patient office or other outpatient visit, typically 15 minutes	397	241	$128.82	$91.04
73564 X-ray of knee, 4 or more views	300	143	$82.04	$35.96
20610 Aspiration and/or injection of fluid from large joint	273	183	$192.30	$71.49
J1030 Injection, methylprednisolone acetate, 40 mg	195	112	$12.84	$5.69
73030 X-ray of shoulder, minimum of 2 views	154	72	$53.51	$22.16
73502 X-ray of hip, 2-3 views	150	61	$63.68	$27.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$185.91	$111.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	73	$189.24	$129.81
73130 X-ray of hand, minimum of 3 views	51	24	$52.37	$25.91
73110 X-ray of wrist, minimum of 3 views	47	16	$57.26	$26.90
73610 X-ray of ankle, minimum of 3 views	42	14	$48.48	$22.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$300.81	$163.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$371.00	$198.95
27447 Replacement of knee joint, both sides of knee	23	22	$3606.65	$1265.65
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	20	$121.00	$51.10
J1040 Injection, methylprednisolone acetate, 80 mg	12	11	$26.00	$10.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	5,120	94	$33.00	$18.39
73564 X-ray of knee, 4 or more views	457	141	$89.34	$21.30
99213 Established patient office or other outpatient visit, typically 15 minutes	366	243	$104.00	$74.16
20610 Aspiration and/or injection of fluid from large joint	329	210	$357.90	$62.70
73030 X-ray of shoulder, minimum of 2 views	227	64	$96.49	$16.12
J1030 Injection, methylprednisolone acetate, 40 mg	216	130	$12.00	$6.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	159	$151.00	$108.62
73502 X-ray of hip, 2-3 views	165	55	$84.08	$21.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	144	144	$185.00	$106.76
73610 X-ray of ankle, minimum of 3 views	102	13	$69.00	$16.44
73130 X-ray of hand, minimum of 3 views	91	33	$72.87	$17.55
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	78	20	$12.00	$6.68
73110 X-ray of wrist, minimum of 3 views	75	16	$69.41	$18.47
73080 X-ray of elbow, minimum of 3 views	40	13	$76.50	$14.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$265.00	$157.37
73560 X-ray of knee, 1-2 views	36	12	$64.75	$15.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	22	$81.00	$45.51
27447 Replacement of knee joint, both sides of knee	20	18	$8433.00	$1390.62
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	19	18	$6882.00	$181.25
64721 Release and/or relocation of hand nerve	17	16	$2810.00	$323.95
29880 Removal of both knee cartilages using an endoscope	12	12	$8602.00	$571.97
73721 Mri scan of leg joint without contrast	11	11	$1977.00	$212.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,600	34	$30.76	$18.58
20610 Aspiration and/or injection of fluid from large joint	555	270	$319.63	$52.74
99213 Established patient office or other outpatient visit, typically 15 minutes	550	332	$104.00	$71.78
73564 X-ray of knee, 4 or more views	486	155	$88.99	$19.31
J1040 Injection, methylprednisolone acetate, 80 mg	286	164	$17.00	$12.26
73030 X-ray of shoulder, minimum of 2 views	258	92	$96.52	$14.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	258	207	$151.00	$105.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	198	198	$185.00	$105.86
73502 X-ray of hip, 2-3 views	186	69	$85.35	$20.15
J1030 Injection, methylprednisolone acetate, 40 mg	170	111	$12.00	$6.12
73110 X-ray of wrist, minimum of 3 views	127	27	$68.61	$16.83
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	127	44	$12.00	$6.78
73130 X-ray of hand, minimum of 3 views	103	34	$70.50	$15.43
73610 X-ray of ankle, minimum of 3 views	83	20	$69.83	$15.60
73560 X-ray of knee, 1-2 views	80	19	$67.11	$15.21
73630 X-ray of foot, minimum of 3 views	54	12	$69.00	$14.36
73080 X-ray of elbow, minimum of 3 views	41	15	$76.12	$13.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$265.00	$161.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	37	$81.00	$44.24
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	24	24	$6882.00	$178.09
64721 Release and/or relocation of hand nerve	23	20	$2810.00	$298.99
77002 Fluoroscopic guidance for needle placement	19	16	$417.00	$28.15
27447 Replacement of knee joint, both sides of knee	19	19	$8433.00	$1377.00
20610 Aspiration and/or injection of fluid from large joint	19	16	$314.00	$47.12
26055 Incision of tendon covering	16	12	$2061.00	$231.87
64718 Release and/or relocation of elbow nerve	15	15	$3970.00	$599.20
29823 Removal of extensive shoulder joint tissue using an endoscope	12	12	$6100.00	$351.14
29822 Removal of shoulder joint tissue using an endoscope	12	12	$5318.00	$178.58
73721 Mri scan of leg joint without contrast	11	11	$1977.00	$229.03
73221 Mri scan of arm joint without contrast	11	11	$1924.00	$212.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	415	235	$317.78	$52.42
73564 X-ray of knee, 4 or more views	394	145	$89.66	$18.71
99213 Established patient office or other outpatient visit, typically 15 minutes	389	258	$104.00	$70.24
J1040 Injection, methylprednisolone acetate, 80 mg	358	210	$16.97	$12.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	213	174	$151.00	$104.36
73030 X-ray of shoulder, minimum of 2 views	195	80	$93.35	$13.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	185	185	$185.00	$103.73
73502 X-ray of hip, 2-3 views	136	40	$81.53	$18.56
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	133	39	$12.00	$6.98
73630 X-ray of foot, minimum of 3 views	72	18	$69.00	$13.57
73130 X-ray of hand, minimum of 3 views	70	24	$68.50	$14.52
73110 X-ray of wrist, minimum of 3 views	63	19	$71.76	$16.90
73080 X-ray of elbow, minimum of 3 views	42	16	$78.67	$14.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$265.00	$150.49
27447 Replacement of knee joint, both sides of knee	29	24	$7866.00	$1235.41
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	25	18	$5714.96	$135.60
29881 Removal of knee cartilage using an endoscope	23	19	$6312.48	$410.68
29823 Removal of extensive shoulder joint tissue using an endoscope	19	12	$4639.21	$288.59
29880 Removal of both knee cartilages using an endoscope	18	14	$7359.56	$429.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$300.00	$135.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$81.00	$42.44
73721 Mri scan of leg joint without contrast	13	13	$1977.00	$218.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73564 X-ray of knee, 4 or more views	353	117	$90.08	$19.53
20610 Aspiration and/or injection of fluid from large joint	335	174	$314.00	$51.39
99213 Established patient office or other outpatient visit, typically 15 minutes	332	222	$104.00	$69.88
J1040 Injection, methylprednisolone acetate, 80 mg	297	158	$14.46	$10.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	145	$151.00	$102.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	126	126	$185.00	$104.37
73030 X-ray of shoulder, minimum of 2 views	119	45	$94.52	$13.80
73502 X-ray of hip, 2-3 views	91	34	$82.92	$19.91
73130 X-ray of hand, minimum of 3 views	53	21	$70.83	$15.31
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	51	30	$12.00	$6.69
73080 X-ray of elbow, minimum of 3 views	50	16	$76.50	$15.04
73610 X-ray of ankle, minimum of 3 views	35	12	$69.37	$14.92
73110 X-ray of wrist, minimum of 3 views	35	13	$68.11	$16.83
27447 Replacement of knee joint, both sides of knee	32	22	$6891.47	$1017.80
73630 X-ray of foot, minimum of 3 views	32	13	$77.63	$15.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$265.00	$160.04
29880 Removal of both knee cartilages using an endoscope	25	13	$5918.32	$327.50
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	24	16	$5391.00	$117.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$300.00	$135.36
29881 Removal of knee cartilage using an endoscope	21	12	$5155.86	$339.13
73721 Mri scan of leg joint without contrast	13	12	$1977.00	$222.10

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MO 2002008842

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

206023715 (MO)

Commercial Insurance / Payer ID Blue Cross Blue Shield

185342 (MO)

Commercial Insurance / Payer ID Aetna

7075347 (MO)

Commercial Insurance / Payer ID United Healthcare

0901515 (MO)

Commercial Insurance / Payer ID Group Health Plan

189058 (MO)

Commercial Insurance / Payer ID Railroad Medicare

P00065237 (MO)

Commercial Insurance / Payer ID Healthlink

482186 (MO)

Hospital & Practice Group Affiliations

Mercy Clinic Surgical Specialists Llc

621 S New Ballas Rd, Saint Louis, MO 631418266

Phone: 3145675850

Mercy Clinic Surgical Specialists Llc

851 E 5th St, Washington, MO 630903128

Phone: 6368617870

Mercy Clinic Surgical Specialists Llc

1390 Us Hwy 61, Festus, MO 630284136

Phone: 6369337400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Amy Cernik , CNP

Nurse Practitioner - Family

NPI 1235026105

Certified Nurse Practitioner

Dr. Robert Smeyne , DO

Orthopaedic Surgery

NPI 1245294149

Doctor of Osteopathic Medicine (D.O.)

Dr. Mark Comess , DPM

Podiatrist - Foot Surgery

NPI 1336154574

Doctor of Podiatric Medicine

Austin Sneddon , PA-C

Physician Assistant

NPI 1477266203

Physician Assistant (Certified)

Patricia Sohn , MSN, APRN-BC, ANP

Nurse Practitioner - Adult Health

NPI 1750338174

Master of Science in Nursing, APRNBC, Adult Nurse Practitioner

Kasey Carnes , PA-C

Physician Assistant

NPI 1770534158

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1390 HIGHWAY 61, JHM MOC SUITE G1000, FESTUS, MO 630284137 (Tel: 6369337400)

📍

Updated Business Mailing Address July 08, 2007

Registered at 12639 OLD TESSON RD, SUITE 115, SAINT LOUIS, MO 631282786 (Tel: 3148490311)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as CRAIG RUBLE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthopaedic Surgery (License #2002008842 in MO)

🟢

Initial NPI Registration & Enumeration May 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467402867

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 10, 2006

Last Update: July 18, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

12639 Old Tesson Rd, Suite 115

Saint Louis, MO 631282786

Phone: 3148490311

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.