Individual
MR. MALCOLM J STUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1103 KALISTE SALOOM RD, SUITE 102, LAFAYETTE, LA 70508-5783
(337) 234-5234
(337) 235-2121
Mailing address
1103 KALISTE SALOOM RD, SUITE 102, LAFAYETTE, LA 70508-5783
(337) 234-5234
(337) 235-2121
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10732R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1999733
—
LA
Enumeration date
07/05/2006
Last updated
03/15/2010
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