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NPI Code Detail

MEDICARE: DR. JEFFERY HUBBARD M.D.

MEDICARE: DR. JEFFERY HUBBARD M.D.
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
1207R00000XInternal Medicine PhysicianG62200CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3110116923OTHERCARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
277040368493612B016OTHERCACHAMPUS
400G622000OTHERCABLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number : 1396726287
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFERY HUBBARD M.D.
Provider Business Mailing Address
First Line : 7780 N FRESNO ST
Second Line : SUITE 102
City : FRESNO
State : CA
Zip : 93720-2413
Country : US
Telephone Number : 559-449-8500
Fax Number : 559-449-8502
Provider Business Practice Location Address
First Line : 7780 N FRESNO ST
Second Line : SUITE 102
City : FRESNO
State : CA
Zip : 93720-2413
Country : US
Telephone Number : 559-449-8500
Fax Number : 559-449-8502
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 10/24/2012

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Directions to “ DR. JEFFERY HUBBARD M.D.” Practice Location

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