Individual
JOHN M HUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 FK BUSTER AVE, CHEYENNE, OK 73628
(580) 497-3333
(580) 497-2778
Mailing address
PO BOX 490, CHEYENNE, OK 73628-0490
(580) 497-3333
(580) 497-2778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14481
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100106560A
—
OK
01
—
1114481
PRESCRIBER #
OK
Enumeration date
07/13/2006
Last updated
06/14/2023
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