Individual
SANDRA I RUBIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
340 S WILLARD ST, COTTONWOOD, AZ 86326-4126
(928) 639-6025
(928) 649-7936
Mailing address
1200 N BEAVER ST, ATTN: PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
190069
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
49207
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01560512
—
NY
05
—
933799
—
AZ
Enumeration date
09/07/2006
Last updated
12/11/2020
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