Individual
J PAUL RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11209 N TATUM BLVD, SUITE # 110, PHOENIX, AZ 85028-3091
(602) 248-8002
(602) 248-8399
Mailing address
PO BOX 14687, SCOTTSDALE, AZ 85267-4687
(480) 991-8100
(480) 922-1028
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
18577
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
91827
SC
2085R0202X
Diagnostic Radiology Physician
C1-0026778
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z7049
HEALTHNET
AZ
01
—
293283
AHCCCS
AZ
01
—
AZ0324990
BCBS
AZ
Enumeration date
05/05/2006
Last updated
08/20/2024
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