Individual
CRAIG RICHARD RUBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1390 HIGHWAY 61, JHM MOC SUITE G1000, FESTUS, MO 63028-4137
(636) 933-7400
(636) 933-7403
Mailing address
12639 OLD TESSON RD, SUITE 115, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2002008842
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0901515
UNITED HEALTHCARE
MO
01
—
185342
BLUE CROSS BLUE SHIELD
MO
01
—
189058
GROUP HEALTH PLAN
MO
05
—
206023715
—
MO
01
—
482186
HEALTHLINK
MO
01
—
7075347
AETNA
MO
01
—
P00065237
RAILROAD MEDICARE
MO
Enumeration date
05/10/2006
Last updated
07/18/2019
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