Individual
DR. ROCKNE L. BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 MEDICAL CENTER DRIVE, SUITE 303, PADUCAH, KY 42003-7934
(270) 444-4222
(270) 444-4223
Mailing address
2200 JEFFERSON AVE, 5TH FLOOR MERCY PHO/CVO, TOLEDO, OH 43604-7101
(419) 251-9830
(419) 251-1826
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
49842
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036074620
—
IL
05
—
7100433490
—
KY
Enumeration date
07/08/2005
Last updated
02/02/2018
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