Organization
MALCOLM J STUBBS, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA ARNOLD (INSURANCE SUPERVISOR)
(337) 267-1359
Entity
Organization
Contact information
Practice address
1103 KALISTE SALOOM ROAD, SUITE 102, LAFAYETTE, LA 70508-2638
(337) 234-5234
(337) 235-2121
Mailing address
1103 KALISTE SALOOM ROAD SUITE 102, LAFAYETTE, LA 70508-2638
(337) 234-5234
(337) 235-2121
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10732R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1999733
—
LA
01
—
437253063C
BLUE CROSS
LA
01
—
P00641203
RAILROAD
LA
Enumeration date
01/07/2008
Last updated
02/02/2009
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