Individual provider · Type 1 NPI
John Calvin Stubblefield, MD
Specialist · Lake Charles, LA
NPI number
1700860814
Active
Practice location
730 E Bayou Pines Dr, Suite B
Lake Charles, LA 70601-7184
Fax (337) 491-9218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 009849 (LA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1700860814
John Calvin Stubblefield, MD's National Provider Identifier is 1700860814, issued on Dec 1, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lake Charles, LA. The record was last updated on Jul 14, 2010.