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DR. RUBEN E BRINCKHAUS MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1891708806

Individual Registrant:
DR. RUBEN E BRINCKHAUS MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
874 MAIN ST  FORTUNA, CA 95540-1926 US
Tel: 707-725-3334  Fax: 707-725-2455

Contact information for business:
874 MAIN ST  FORTUNA, CA 95540-1926 US
Tel: 707-725-3334  Fax: 707-725-2455

Registration Information:
NPI: 1891708806
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CA00G61840

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00G61840CA05




HEALTH CARE JOBS CA - Page 1



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