NPI 1013040575
Eliza S Rubic, IDC
Practice location
- Address
- Psc 482 Box 2759, Fpo, AP 96362
- Phone
- (315) 644-4474
- Mailing address
- 9109 Gemini Ave, San Diego, CA 92126-4812
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1013040575
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Mar 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.