Individual
DR. MARY MORRILL CHUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15720 WINCHESTER BLVD, LOS GATOS, CA 95030-3337
(408) 730-6130
Mailing address
2350 W EL CAMINO REAL FL 2, MOUNTAIN VIEW, CA 94040-6203
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A114767
CA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
A114767
CA
Other
Enumeration date
05/18/2007
Last updated
01/25/2019
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