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Individual

ALLSTON JULIUS STUBBS

Active
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Individual

ALLSTON JULIUS STUBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
200201533
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
143KU
BCBS
NC
01
5705050
AETNA
NC
05
5905396
NC
05
Q0153A
SC
Enumeration date
02/09/2006
Last updated
12/21/2010
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