Provider Demographics
NPI:1932619772
Name:BELLORIN FONT, EZEQUIEL RAMON (MD)
Entity type:Individual
Prefix:DR
First Name:EZEQUIEL
Middle Name:RAMON
Last Name:BELLORIN FONT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1008 S. SPRING AVENUE
Mailing Address - Street 2:SLUCARE ACADEMIC PAVILION, DIV. OF NEPHROL, ROOM 2503
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-2539
Mailing Address - Country:US
Mailing Address - Phone:314-977-2650
Mailing Address - Fax:314-771-0784
Practice Address - Street 1:3691 RUTGER STREET
Practice Address - Street 2:SUITE 222
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110
Practice Address - Country:US
Practice Address - Phone:314-762-0089
Practice Address - Fax:314-762-0098
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-06
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2017034328207RN0300X
MO2019026883207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology