Individual
DR. DAVID PAUL RUBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1119 E LE MARCHE AVE, PHOENIX, AZ 85022-3136
(602) 795-0861
Mailing address
1119 E LE MARCHE AVE, PHOENIX, AZ 85022-3136
(602) 795-0861
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1773
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184771
—
AZ
01
—
K35501L
AZ MEDICARE PROVIDER
AZ
Enumeration date
07/26/2006
Last updated
10/20/2007
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