Individual
MR. GEOFFREY W GUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15249 ARTHUR'S COURT, BELLE HAVEN, VA 23306
(757) 414-0595
(757) 414-0596
Mailing address
PO BOX 274, 15249 ARTHUR'S COURT, BELLE HAVEN, VA 23306-0274
(757) 414-0595
(757) 414-0596
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101028868
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018800
ANTHEM BCBS
VA
05
—
7610408
—
VA
Enumeration date
11/22/2005
Last updated
02/26/2008
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