Individual
JAMIE D RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20300 E VALLEY VIEW PKWY, INDEPENDENCE, MO 64057-1672
(816) 478-5200
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
04-36475
KS
208000000X
Pediatrics Physician
Primary
2016016721
MO
Other
Enumeration date
08/15/2007
Last updated
08/15/2016
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