Healthcare Provider Details

I. General information

NPI: 1306047865
Provider Name (Legal Business Name): DANIEL MARC RUBIN N.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7331 E OSBORN DR SUITE 330
SCOTTSDALE AZ
85251-6435
US

IV. Provider business mailing address

7331 E OSBORN DR SUITE 330
SCOTTSDALE AZ
85251-6435
US

V. Phone/Fax

Practice location:
  • Phone: 480-990-1111
  • Fax: 480-990-1110
Mailing address:
  • Phone: 480-990-1111
  • Fax: 480-990-1110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number97-511
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: