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Individual

DR. MARK ALLEN RUBEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
480 CHADBOURNE RD 201, FAIRFIELD, CA 94534-9647
(707) 399-4500
(707) 643-8810
Mailing address
2290 SACRAMENTO ST, VALLEJO, CA 94590-2929
(707) 643-5785
(707) 643-8810

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
G75891
CA
207N00000X
Dermatology Physician
Primary
G75891
CA
207NS0135X
Procedural Dermatology Physician
G75891
CA

Other

Enumeration date
09/29/2005
Last updated
08/18/2015
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