Individual
DR. RUSSEL J AUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
850 CAROLS CAMACHO RD, GMHA - ANESTHESIA DEPARTMENT, TAMUNING, GU 96913-3128
(671) 647-2554
Mailing address
PO BOX 7613, TAMUNING, GU 96931-7613
(671) 929-2721
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DO-0037
GU
207L00000X
Anesthesiology Physician
DO00522
RI
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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