MEDICARE: DR. SAMUEL M RUBINSON MD

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	174400000X	Specialist	24066	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821065111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMUEL M RUBINSON MD

Provider Business Mailing Address
First Line	:	1601 E 19TH AVE STE 4500
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-1289
Country	:	US
Telephone Number	:	303-831-6100
Fax Number	:	303-831-8200

Provider Business Practice Location Address
First Line	:	1601 E 19TH AVE STE 4500
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-1289
Country	:	US
Telephone Number	:	303-831-6100
Fax Number	:	303-831-8200

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

Provider Enumeration Date	:	03/05/2006
Last Update Date	:	03/30/2009

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