Individual
DR. JONATHAN P HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2825 E MALL DR, ST GEORGE, UT 84790-1954
(435) 673-6131
(435) 673-8557
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47556721204
UT
Other
Enumeration date
07/17/2006
Last updated
03/25/2025
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