Individual
RUEBEN DALLAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
700 DELAWARE ST, UROLOGY DEPT., DAVIS PAVILION, 2ND FLOOR, SOUTH TOWER, DENVER, CO 80204-4532
(303) 602-6087
(303) 602-6283
Mailing address
4766 S ZENO ST, AURORA, CO 80015-3248
(720) 530-7596
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0193782
CO
Other
Enumeration date
11/08/2014
Last updated
11/08/2014
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