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Contact Information

JACK W TUBBS JR, MD
8580 SCARBOROUGH DR
SUITE 100
COLORADO SPRINGS, CO80920-7583
 Phone: 719-596-3344
 Fax: 719-632-6118
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Legal Medicine

173000000X
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JACK W TUBBS JR · (Male)

NPI # 1669471538
Status Active
Credentials MD
Entity Individual
Enumeration date 07/21/2005
Last updated 06/02/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 28714
  • OK License # 17891
  • CO Medicaid 01287143
Hospital affiliation(s)
  • MEMORIAL HOSPITAL CENTRAL - (Acute Care)
    1400 E BOULDER ST
    COLORADO SPRINGS, CO 80909
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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