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Individual

DR. RODNEY T. RUBI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
205 WALNUT ST., ELLINGTON, MO 63638-0157
(573) 663-2525
(573) 663-7821
Mailing address
PO BOX 249, ELLINGTON, MO 63638-0249
(573) 785-3984

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
117506
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-01123
UNITED HEALTH CARE
MO
01
04-01124
UNITED HEALTHCARE
MO
01
04-01126
UNITED HEALTH CARE
MO
01
04-03473
UNITED HEALTH CARE
MO
01
1184727422
RAILROAD MEDICARE
01
127515
BLUE CROSS/BLUE SHIELD
MO
05
204018402
MO
01
418570
HEALTHLINK
MO
Enumeration date
09/05/2006
Last updated
06/04/2008
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