Individual
DR. RICKY BRIAN TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
1004
AL
207L00000X
Anesthesiology Physician
20A9639
CA
207R00000X
Internal Medicine Physician
Primary
DO1004
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10205I7957
MEDICARE
AL
05
—
176152
—
AL
Enumeration date
01/11/2008
Last updated
03/15/2023
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