Provider Demographics
NPI:1841917325
Name:CHRISTOPHER STUBBS MD PA
Entity type:Organization
Organization Name:CHRISTOPHER STUBBS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:F
Authorized Official - Last Name:STUBBS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:785-256-9560
Mailing Address - Street 1:1119 SW GAGE BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-1774
Mailing Address - Country:US
Mailing Address - Phone:785-256-9560
Mailing Address - Fax:785-329-6627
Practice Address - Street 1:1119 SW GAGE BLVD STE 3
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-1774
Practice Address - Country:US
Practice Address - Phone:785-256-9560
Practice Address - Fax:785-329-6627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty