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Individual
REX HUBBARD
Active
Individual
REX HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD200828
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02871338
—
MS
05
—
1013307
—
LA
Enumeration date
09/04/2006
Last updated
09/03/2008
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