MEDICARE: DEAN HUBER

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
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1750240644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEAN HUBER

Provider Business Mailing Address
First Line	:	3411 E INGLEWOOD CIR
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85213-3266
Country	:	US
Telephone Number	:	602-736-6011
Fax Number	:

Provider Business Practice Location Address
First Line	:	3411 E INGLEWOOD CIR
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85213-3266
Country	:	US
Telephone Number	:	602-736-6011
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2026
Last Update Date	:	01/17/2026

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Directions to “ DEAN HUBER ” Practice Location

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