Provider Demographics
NPI:1972564896
Name:HUBBARD, DUNCAN LANG (MD)
Entity type:Individual
Prefix:DR
First Name:DUNCAN
Middle Name:LANG
Last Name:HUBBARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2831 FORT MISSOULA RD
Mailing Address - Street 2:#304
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59804
Mailing Address - Country:US
Mailing Address - Phone:406-721-5681
Mailing Address - Fax:406-721-2661
Practice Address - Street 1:2831 FORT MISSOULA RD
Practice Address - Street 2:#304
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59804
Practice Address - Country:US
Practice Address - Phone:406-721-5681
Practice Address - Fax:406-721-2661
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-30
Last Update Date:2009-08-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MT4976207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT072553.Medicaid
MT0072553Medicaid
MT072553.Medicaid
0354780001Medicare NSC
000001832Medicare PIN
MT0072553Medicaid