| Mark A Rubin, Md, Pa | |
|
1903 North 7th Street West Monroe LA 71291-4415 | |
| (318) 325-1087 | |
| (318) 325-1089 |
| Full Name | Mark A Rubin, Md, Pa |
|---|---|
| Speciality | Colon & Rectal Surgery |
| Location | 1903 North 7th Street, West Monroe, Louisiana |
| Authorized Official Name and Position | Mark A Rubin (OWNER) |
| Authorized Official Contact | 3183251087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Rubin, Md, Pa 1903 North 7th Street West Monroe LA 71291-4415 Ph: (318) 325-1087 | Mark A Rubin, Md, Pa 1903 North 7th Street West Monroe LA 71291-4415 Ph: (318) 325-1087 |
| NPI Number | 1871707331 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 01/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871707331 | NPI | - | NPPES |
| 1962805 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 15728 (Louisiana) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 15728 (Louisiana) | Primary |
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