Individual
DR. MICHAEL R HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1800 W CHARLESTOWN BLVD, LAS VEGAS, NV 89102
(702) 383-2000
(702) 383-3620
Mailing address
1800 W CHARLESTOWN BLVD, LAS VEGAS, NV 89102
(702) 383-2000
(702) 383-3620
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1340
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12455543
CAQH #
NV
01
—
1340
OSTEOPATHIC MED. LICENSE
NV
Enumeration date
06/20/2007
Last updated
05/01/2023
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