Individual
MARK TAGUE RUBERTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1127 S GEORGE NIGH EXPY, MCALESTER, OK 74501-7143
(918) 423-8400
(918) 423-0033
Mailing address
1127 GEORGE NIGH EXPRESSWAY, MCALESTER, OK 74501
(918) 423-8400
(918) 423-0033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2009-00664
NC
207Q00000X
Family Medicine Physician
Primary
25954
OK
Other
Enumeration date
06/03/2006
Last updated
02/28/2011
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