Doctor Name: | DR. EPIMACO ORIGEN RUBIO |
NPI Number: | 1891037727 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 17490 |
Business Practice Address: | 321 Dry Hill Rd Beckley, WV - 258012601 |
Business Phone Number: | 3042524154 |
Business Fax Number: | 3042560821 |
Mailing Address: | 438 Club Cir, DANIELS |
State: | WV |
Postal Code: | 258329212 |
Phone Number: | 3042524154 |
Fax Number: | 3042560821 |
NPI Enumeration Date: | 03/18/2013 |
NPI Last Update Date: | 03/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 17490 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |