Organization
GREGORY TUBRE, MD, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY TUBRE M.D. (OWNER)
(479) 271-2350
Entity
Organization
Contact information
Practice address
811 SE 28TH ST, SUITE 7, BENTONVILLE, AR 72712-4268
(479) 271-2350
(479) 271-0805
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(479) 271-2350
(479) 271-0805
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F310
ARK BLUE CROSS
AR
Enumeration date
03/22/2006
Last updated
10/09/2007
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