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Individual
RICHARD SHANE TUBBS
Active
Individual
RICHARD SHANE TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD,PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA053
AL
363AS0400X
Surgical Physician Assistant
Primary
PA60600928
WA
Other
Enumeration date
08/17/2006
Last updated
10/24/2019
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