Individual
DR. STEPHEN HOWARD KOUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1219 WALTER REED RD, FAYETTEVILLE, NC 28304-4437
(910) 609-5000
(910) 615-9600
Mailing address
1219 WALTER REED RD, FAYETTEVILLE, NC 28304-4437
(910) 609-5000
(910) 615-9600
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
29766
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50238
BCBS INDIVIDUAL ID NUMBER
NC
05
—
8950238
—
NC
Enumeration date
02/17/2006
Last updated
08/19/2025
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