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:
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Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437139813 NPPES
Arizona Other Z276049 MEDICARE
Arizona MEDICAID 539869 MEDICARE

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