MEDICARE: DR. BRIAN CHRISTOPHER REUBEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	5385151-1205	UT

General Provider Information

NPI Number	:	1447457221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN CHRISTOPHER REUBEN M.D.

Provider Business Mailing Address
First Line	:	6686 S HIGHLAND DR STE 200
Second Line	:
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84121-3037
Country	:	US
Telephone Number	:	801-937-9650
Fax Number	:

Provider Business Practice Location Address
First Line	:	6686 S HIGHLAND DR STE 200
Second Line	:
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84121-3037
Country	:	US
Telephone Number	:	801-937-9650
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2007
Last Update Date	:	11/21/2024

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