Individual
DR. JACQUELINE DALE STUBER
Active
Individual
DR. JACQUELINE DALE STUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2025030569
MO
2086S0129X
Vascular Surgery Physician
Primary
2025030569
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200163041
—
MO
Enumeration date
03/30/2018
Last updated
06/22/2026
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