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NPI Code Detail

MEDICARE: RACHAEL STUBBS MD

MEDICARE:   RACHAEL  STUBBS  MD
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
1207RG0300XGeriatric Medicine (Internal Medicine) Physician183426-1205UT

General Provider Information

NPI Number : 1568489375
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL STUBBS MD
Provider Business Mailing Address
First Line : 2981 E JULIET WAY
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-7023
Country : US
Telephone Number : 801-860-2190
Fax Number : 801-733-4866
Provider Business Practice Location Address
First Line : 2981 JULIET WAY
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-7023
Country : US
Telephone Number : 801-860-2190
Fax Number : 801-733-4866
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2006
Last Update Date : 03/05/2024

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Directions to “ RACHAEL STUBBS MD” Practice Location

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