DR. Justin F Bubolz, M.D.

NPI #1962481630 in Hannibal, Missouri

Provider Information

NPI Number: 1962481630
Entity Type: Individual
Name: DR. Justin F Bubolz, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Jan 11, 2006
Last Updated: Oct 8, 2021

Practice Location

Address: 100 MEDICAL DR
City: Hannibal
State: Missouri
ZIP Code: 63401-6877
Phone: (573) 231-3102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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