Healthcare Provider Details

I. General information

NPI: 1841264819
Provider Name (Legal Business Name): ROBERT NEAL RUBEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 CLERMONT ST
DENVER CO
80220-3808
US

IV. Provider business mailing address

1800 LAWRENCE ST APT 504
DENVER CO
80202-1899
US

V. Phone/Fax

Practice location:
  • Phone: 303-399-8020
  • Fax: 303-393-4683
Mailing address:
  • Phone: 303-399-8020
  • Fax: 303-393-4683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number35831
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: