Rubin, Mark Leslie

Rubin, Mark Leslie is an sole proprietor health care provider with primary practice located at 2020 S. Mcclintock Dr.#105 , Tempe AZ 85282. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Rubin, Mark Leslie can be contacted via phone (480) 284-7304.

Contact Information

Primary practice address
2020 S. Mcclintock Dr.#105 Tempe AZ 85282
Phone: (480) 284-7304
Fax: (480) 284-7616
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2084P0005X 18801 Arizona
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 18801 Arizona
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 18801 Arizona

Profile Details

NPI number 1194749341
LBN Legal business name Rubin, Mark Leslie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194749341 NPPES
Arizona MEDICAID 431982
Arizona Other 1194749341

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