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MR. GREGORY (NMI) HUBBARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1375 MISSION ST, SAN FRANCISCO, CA 94103-2621
(415) 746-1940
(415) 746-1941
Mailing address
2620 MISSION ST, SAN FRANCISCO, CA 94110-3102
(415) 746-1940
(415) 746-1941

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12349PA
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12349PA
STATE LICENSE
CA
Enumeration date
12/14/2007
Last updated
01/25/2016
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