Most Relevant Information
Provider Data
| NPI Number: | 1003228016 |
| Provider Name: | GROVER L HUBBARD LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 20473 |
Most Important Dates
| Enumeration Date: | 05/24/2014 |
| Last Updated: | 05/24/2014 |
Provider Practice Location
1262 MAIN ST
SWEET HOME
OR
973861608
Practice Location Phone/Fax
| Phone: | 5419139501 |
| Fax: | 5413678093 |
Provider Mailing Location
1262 MAIN ST
SWEET HOME
OR
973861608
Provider Mailing Phone/Fax
| Phone: | 5419139501 |
| Fax: | 5413678093 |