Individual
RONALD BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 585-7600
Mailing address
PO BOX 631104, CINCINNATI, OH 45263-1104
(800) 365-3744
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35059529
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000015517
ANTHEM
OH
05
—
0795500
—
OH
05
—
64865959
—
KY
Enumeration date
10/13/2005
Last updated
01/14/2008
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