Luba, Mark Clinton
Luba, Mark Clinton is an individual health care provider with primary practice located at 18555 N 79Th Ave Ste B108 , Glendale AZ 85308-8372. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Luba, Mark Clinton can be contacted via phone (888) 705-8558.Contact Information
Primary practice address
18555 N 79Th Ave Ste B108
Glendale AZ 85308-8372
Phone: (888) 705-8558
Fax: (480) 776-0025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 26967 | Arizona |
Profile Details
| NPI number | 1437139813 |
|---|---|
| LBN Legal business name | Luba, Mark Clinton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Dec 27th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437139813 | NPPES |
| Arizona | Other | Z276049 | MEDICARE |
| Arizona | MEDICAID | 539869 | MEDICARE |
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