Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Justin F Bubolz, MD

Individual provider Pediatrics Physician · NPI 1962481630

Dr. Justin F Bubolz, MD is a Pediatrics Physician in Hannibal, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Medical Dr
Hannibal, MO 63401-6877
Phone: (573) 231-3102
Fax: (573) 231-3723
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence R2H02 (MO)

Record details

NPI number1962481630
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 11, 2006
Last updated in NPPESOctober 8, 2021
Certification dateOctober 8, 2021

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