Individual
DR. JOSHUA BENNETT RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, DIV PED HEMATOLOGY AND ONC, SAINT LOUIS, MO 63110-1002
(314) 454-6018
(844) 621-4392
Mailing address
PO BOX 60352, SAINT LOUIS, MO 63160-0352
(314) 454-6018
(844) 621-4392
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2004002774
MO
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
2004002774
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208818104
—
MO
Enumeration date
07/18/2006
Last updated
04/25/2024
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