Individual
PAUL DAVID WUBBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
804 MAZATLAN DR, GRAND JUNCTION, CO 81506-1773
(970) 241-6478
Mailing address
804 MAZATLAN DR, GRAND JUNCTION, CO 81506-1773
(970) 241-6478
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12966
CO
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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