Provider Demographics
NPI:1780984831
Name:STUBER, DENNIS EUGENE (DC)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:EUGENE
Last Name:STUBER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5425 E BELL RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-6007
Mailing Address - Country:US
Mailing Address - Phone:602-493-9800
Mailing Address - Fax:602-493-2526
Practice Address - Street 1:5425 E BELL RD
Practice Address - Street 2:SUITE 150
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-6007
Practice Address - Country:US
Practice Address - Phone:602-493-9800
Practice Address - Fax:602-493-2526
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ3107111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor