Individual
DR. BRIAN G RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, DIV SURG VASCULAR, STE 8B, SAINT LOUIS, MO 63110-1032
(314) 273-7373
(888) 840-6225
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 273-7373
(888) 840-6225
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
R5J19
MO
2086S0129X
Vascular Surgery Physician
Primary
R5J19
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202651501
—
MO
Enumeration date
07/05/2006
Last updated
04/17/2025
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