Individual
GARY ARTHUR TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6023 N EAGLE RD, BOISE, ID 83713-0997
(208) 322-7284
(208) 322-6504
Mailing address
PO BOX 4979, BOISE, ID 83711-4979
(208) 322-7284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M5541
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002643400
—
ID
Enumeration date
06/12/2006
Last updated
07/15/2008
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