Individual
BRANDON S RUBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3801 S NATIONAL AVE STE 700, SPRINGFIELD, MO 65807-5210
(417) 885-3888
(417) 881-7268
Mailing address
1411 E PRIMROSE ST STE C, SPRINGFIELD, MO 65804-4377
(417) 882-1207
(417) 881-7268
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2010029945
MO
363LA2100X
Acute Care Nurse Practitioner
Primary
2017037191
MO
Other
Enumeration date
10/04/2017
Last updated
03/08/2023
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