Individual
CARL B TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11960 LIONESS WAY, STE 190, PARKER, CO 80134-5640
(303) 794-1111
(303) 347-1341
Mailing address
11960 LIONESS WAY, STE 190, PARKER, CO 80134-5640
(303) 794-1111
(303) 347-1341
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36739
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180015058
RAILROAD MEDICARE
MN
01
—
180046282
RAILROAD MEDICARE
WI
05
—
531263900
—
MN
Enumeration date
06/15/2005
Last updated
08/28/2015
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