Individual
DR. MARK LESLIE RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 S. MCCLINTOCK DR.#105, TEMPE, AZ 85282
(480) 284-7304
(480) 284-7616
Mailing address
PO BOX 11417, TEMPE, AZ 85284-0024
(480) 284-7304
(480) 284-7616
Taxonomy
Speciality
Code
Description
License number
State
2084P0005X
Neurodevelopmental Disabilities Physician
18801
AZ
2084P0800X
Psychiatry Physician
18801
AZ
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
18801
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194749341
NPI
—
05
—
431982
—
AZ
Enumeration date
07/27/2006
Last updated
03/07/2023
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