Individual
DR. CHARLES G. HUBBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 S UNION AVE, SUITE A229, TACOMA, WA 98405-1702
(253) 383-3377
(253) 383-0716
Mailing address
PO BOX 65369, UNIVERSITY PLACE, WA 98464-1369
(253) 383-3377
(253) 383-0716
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00014307
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1753409
—
WA
01
—
A08453
UPIN
—
Enumeration date
01/12/2008
Last updated
01/12/2008
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