Individual
JACK W TUBBS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8580 SCARBOROUGH DR, SUITE 100, COLORADO SPRINGS, CO 80920-7583
(719) 596-3344
(719) 632-6118
Mailing address
8580 SCARBOROUGH DR STE 100, COLORADO SPRINGS, CO 80920-7583
(719) 596-3344
(719) 632-6118
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
—
—
174400000X
Specialist
17891
OK
174400000X
Specialist
28714
CO
207V00000X
Obstetrics & Gynecology Physician
Primary
28714
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01287143
—
CO
Enumeration date
07/21/2005
Last updated
06/02/2025
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