Dr. Jerry Leroy Hubbard, M.D.
Neurological Surgery in Salem, OR. Individual provider (NPI-1).
NPI number1952307498
StatusActive
Last updated in NPPESApr 10, 2008
Details
- NPI
- 1952307498
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jerry Leroy Hubbard
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2005
- Last updated
- Apr 10, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | MD11848 | OR | Yes |
Practice location
875 Oak St SeSte 5060
Salem, OR 97301-3987
Phone 503-399-1386 · Fax 503-399-1182
Mailing address
875 Oak St SeSte 5060
Salem, OR 97301-3987
Phone 503-399-1386 · Fax 503-399-1182
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