Individual
DR. JOHN RICHARD HUBERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1205 SE PROFESSIONAL MALL BLVD, PULLMAN, WA 99163-5423
(509) 332-7511
Mailing address
1205 SE PROFESSIONAL MALL BLVD, PULLMAN, WA 99163-5423
(509) 332-7511
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD00012432
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1400506
—
WA
Enumeration date
01/16/2006
Last updated
10/12/2011
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