Individual
DR. STANLEY R. HUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 E SPRING ST, SUITE 200, NEW ALBANY, IN 47150-2926
(945) 945-7536
(812) 945-7542
Mailing address
700 E SPRING ST, SUITE 200, NEW ALBANY, IN 47150-2926
(945) 945-7536
(812) 945-7542
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01057450A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100115990A
—
IN
05
—
200456770
—
IN
01
—
61-1091357
TAX ID
IN
Enumeration date
10/12/2006
Last updated
07/10/2014
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