Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Facial Plastic Surgery |
207YS0123X | 04 | Physician/Otolaryngology |
| NPI # | 1215374467 |
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| LBN Legal business name | JASON T. STUBBS PC | ||||
| Authorized official | JANE HOFFMAN - (OFFICE MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/29/2013 | ||||
| Last updated | 10/31/2013 - About 13 years ago | ||||
| Identifiers |
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