Individual
DR. RONALD COLLINS HUBBARD SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 TOWER DR STE 309, MONROE, LA 71201-5783
(318) 966-6575
(318) 966-6586
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
018486
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018486
STATE LICENSE #
LA
05
—
1377058
—
LA
Enumeration date
11/22/2005
Last updated
03/07/2023
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