Individual
DR. SAMUEL MARK RUBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 LEILANI ST, HILO, HI 96720-7512
(808) 430-2596
(808) 934-9360
Mailing address
2176 KAIWIKI RD, HILO, HI 96720-9722
(808) 430-2596
(808) 934-9360
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
A35819
CA
208D00000X
General Practice Physician
MD5759
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03006790878
ME#
CA
05
—
084538
—
OR
Enumeration date
03/13/2007
Last updated
11/09/2011
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