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Individual

MR. JOHN RICHARD HUBBARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 TOWNCENTER BLVD STE 100, TUSCALOOSA, AL 35406-1824
(205) 650-0576
(205) 764-5995
Mailing address
201 TOWNCENTER BLVD, TUSCALOOSA, AL 35406-1824
(205) 650-0576
(205) 764-5995

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23133
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000094996
AL
01
51527886
BCBS
AL
01
94996
BCBS
AL
Enumeration date
05/25/2006
Last updated
05/16/2019
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