Organization
GEROLESCENCE INC
Active
Other names
Steven E. Rubin M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN E RUBIN M.D. (PRESIDENT)
(775) 329-1019
Entity
Organization
Contact information
Practice address
781 MILL ST, RENO, NV 89502-1320
(775) 329-1019
(775) 329-1564
Mailing address
3495 LAKESIDE DR, #176, RENO, NV 89509-4841
(775) 329-1019
(775) 329-1564
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
6827
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016985
—
NV
Enumeration date
11/21/2007
Last updated
02/02/2011
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