# A.K. GOMBART M.D.P.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013922996
- **Authorized official:** DR. AUGUSTIN KARL GOMBART MD (PHYSICIAN)
- **Authorized official phone:** (541) 673-0133

## Contact information

- **Practice address:** 532 W UMPQUA ST, ROSEBURG, OR 97470-2951
- **Practice address phone:** (541) 673-0133
- **Mailing address:** 532 W UMPQUA ST, ROSEBURG, OR 97470-2951
- **Mailing address phone:** (541) 673-0133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD08874 | OR | Yes |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 06/13/2008
