Organization
MARTIN H RUBIN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN H RUBIN MD (PRESIDENT)
(480) 839-7627
Entity
Organization
Contact information
Practice address
7525 E BROADWAY RD, SUITE #1, MESA, AZ 85208-2002
(480) 839-7627
(480) 839-7643
Mailing address
7525 E BROADWAY RD, SUITE #1, MESA, AZ 85208-2002
(480) 839-7627
(480) 839-7643
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
AZ12996
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110005756
MEDICARE RAILROAD
AZ
05
—
226432
—
AZ
01
—
860527535
TRICARE
AZ
01
—
AZ0037030
BCBS AZ
AZ
01
—
AZ7216
HEALTHNET OF AZ
AZ
Enumeration date
01/16/2008
Last updated
12/02/2008
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