Mark Dale Stubblefield

NPI #1154136778 in Kenesaw, Nebraska

Provider Information

NPI Number: 1154136778
Entity Type: Individual
Name: Mark Dale Stubblefield
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Enumeration Date: Feb 11, 2025
Last Updated: Feb 11, 2025

Practice Location

Address: 611 N 5TH AVE
City: Kenesaw
State: Nebraska
ZIP Code: 68956-1512
Phone: (402) 469-9034

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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