Individual
DR. JOHN S. HRUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5580 NORDIC WAY, FERNDALE, WA 98248
(360) 384-1511
(360) 384-5758
Mailing address
709 W ORCHARD DR, SUITE 4, BELLINGHAM, WA 98225-1766
(360) 318-8800
(360) 318-1085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00017042
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0128752
LABOR & INDUSTRIES (REG)
WA
01
—
01934
REGENCE BLUESHIELD
WA
01
—
080141866
RAILROAD MEDICARE
WA
05
—
1068352
—
WA
01
—
423898012
GROUP HEALTH COOPERATIVE
WA
01
—
8925033
LABOR & INDUSTRIES (CV)
WA
Enumeration date
06/13/2006
Last updated
07/24/2012
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