Individual
DR. MARK ADAM HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 W COLUMBIA ST, SUITE 420, EVANSVILLE, IN 47710-1782
(812) 422-3254
Mailing address
350 W COLUMBIA ST, SUITE 420, EVANSVILLE, IN 47710-1782
(812) 422-3254
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01069215A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201025020
—
IN
05
—
7100162090
—
KY
Enumeration date
01/22/2008
Last updated
02/29/2024
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