Individual
GARRICK P HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11590 N MERIDIAN ST STE 400, CARMEL, IN 46032-4599
(317) 708-2839
(317) 708-2877
Mailing address
11590 N MERIDIAN ST STE 400, CARMEL, IN 46032-4599
(317) 708-2839
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000352618
ANTHEM PROVIDER NUMBER
IN
Enumeration date
05/23/2005
Last updated
02/15/2024
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