Individual
MATTHEW A HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
176 VALLEY ST NW, ABINGDON, VA 24210-2859
(276) 628-9547
Mailing address
PO BOX 1328, ABINGDON, VA 24212-1328
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
0101256217
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700100286
—
VA
Enumeration date
03/26/2010
Last updated
09/09/2016
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