Organization
ERIC R. HUBBARD, DPM, PC
Active
Other names
Memorial Podiatry Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MILLIE K HUBBARD RN (OFFICER AND SHAREHOLDER)
(562) 426-5151
Entity
Organization
Contact information
Practice address
2333 PACIFIC AVE, LONG BEACH, CA 90806-3025
(562) 426-5151
(562) 424-9935
Mailing address
2333 PACIFIC AVE, LONG BEACH, CA 90806-3025
(562) 426-5151
(562) 424-9935
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
E1294
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E12940
—
CA
Enumeration date
04/23/2007
Last updated
04/23/2008
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