NPI | 1790742260 |
---|---|
Former Legal Business Name | KEITH C STUBE MD PC |
Entity Type | Organization |
Authorized Contact | KEITH C STUBE Owner 716-839-5858 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Enumeration Date | 2006-04-28 |
Last Update Date | 2014-12-11 |