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Individual

MEGAN M HUBBARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-4538
Mailing address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-4538

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00025468
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8116071
WA
Enumeration date
03/21/2007
Last updated
11/29/2011
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