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Contact Information

KENT D STUBER, MD
3976 UNIVERSITY LAKE DR
ANCHORAGE, AK99508-4644
 Phone: 907-729-2083
 Fax: 907-729-1557
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KENT D STUBER · (Male)

NPI Number 1063647642
Status Active
Credentials MD
Entity Individual
Enumeration date 05/26/2009
Last updated 08/13/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 125925
  • OK License # 27191
  • OK Medicaid 1063647642
Hospital affiliation(s)
  • ALASKA NATIVE MEDICAL CENTER - (Acute Care)
    4315 DIPLOMACY DR
    ANCHORAGE, AK 99508
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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