| Doctor Name: | PAUL J STUBER |
| NPI Number: | 1326108242 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD0015256 |
| Business Practice Address: | 1044 11th Ave Longview, WA - 986322506 |
| Business Phone Number: | 3605758275 |
| Business Fax Number: | 3605751948 |
| Mailing Address: | Po Box 2429, LONGVIEW |
| State: | WA |
| Postal Code: | 986328486 |
| Phone Number: | 3605758275 |
| Fax Number: | 3605751948 |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 09/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD0015256 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |