Individual
DR. JEFFREY N RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1205 S TELSHOR BLVD, LAS CRUCES, NM 88011-4748
(505) 260-4300
(505) 260-4338
Mailing address
1720 LOUISIANA BLVD NE, STE 401, ALBUQUERQUE, NM 87110-7020
(505) 260-4300
(505) 260-4338
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A-938-91
NM
207L00000X
Anesthesiology Physician
Primary
Q1287
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E3909
—
NM
01
—
NM014A51
BLUE CROSS BLUE SHIELD
NM
Enumeration date
06/10/2005
Last updated
09/25/2023
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