Individual
DR. ROBERT BRENT HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12888 PORCUPINE PASS, LAVA HOT SPRINGS, ID 83246-0834
(208) 776-5385
(208) 776-5385
Mailing address
12888 PORCUPINE PASS, LAVA HOT SPRINGS, ID 83246-0834
(208) 776-5385
(208) 776-5385
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M-2847
ID
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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