Individual
PHILLIP J RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1715 W NORTHERN AVE, STE 108, PHOENIX, AZ 85021
(602) 395-0718
(602) 277-8146
Mailing address
PO BOX 39179, PHOENIX, AZ 85069-9179
(602) 395-0718
(602) 277-8146
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
7824
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219297
—
AZ
01
—
AZ0009030
BCBS OF AZ
AZ
Enumeration date
02/22/2006
Last updated
02/27/2008
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