Organization
MARK A RUBIN, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A RUBIN MD (OWNER)
(318) 325-1087
Entity
Organization
Contact information
Practice address
1903 NORTH 7TH STREET, WEST MONROE, LA 71291-4415
(318) 325-1087
(318) 325-1089
Mailing address
1903 NORTH 7TH STREET, WEST MONROE, LA 71291-4415
(318) 325-1087
(318) 325-1089
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
15728
LA
208C00000X
Colon & Rectal Surgery Physician
Primary
15728
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962805
—
LA
Enumeration date
05/10/2007
Last updated
01/07/2008
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