WAYNE LAVERN RUBY

MOSCOW, ID
NPI1285607085
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M4929)
Enumeration Date2006-02-10
Last Update Date2012-08-21
Business Address
-- WAYNE LAVERN RUBY MD
623 S MAIN ST
MOSCOW, ID 83843-2983
Phone number: 208-882-2011
Mailing Address
-- WAYNE LAVERN RUBY MD
623 S MAIN ST
MOSCOW, ID 83843-2983
Phone number: 208-882-2011
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