Provider Demographics
NPI:1982269031
Name:HUBMD PC
Entity Type:Organization
Organization Name:HUBMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:K
Authorized Official - Last Name:FRENCHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-455-9473
Mailing Address - Street 1:700 E REDLANDS BLVD STE U218
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-6109
Mailing Address - Country:US
Mailing Address - Phone:909-455-9473
Mailing Address - Fax:
Practice Address - Street 1:104 E OLIVE AVE STE 100
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-5255
Practice Address - Country:US
Practice Address - Phone:909-455-9473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-03
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty