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Organization
STEVE KOLPACOFF MD
Active
Organization
STEVE KOLPACOFF MD
Active
Other names
Stephen Kolpacoff MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN KOLPACOFF MD (OWNER)
(530) 842-4445
Entity
Organization
Contact information
Practice address
101 E OBERLIN ROAD, YREKA, CA 96097-1146
(530) 842-4445
(530) 842-9054
Mailing address
105 E OBERLIN RD, P O BOX 1146, YREKA, CA 96097-9645
(530) 842-4445
(530) 842-9054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G61132
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G611320
BLUE SHIELD
CA
Enumeration date
03/18/2008
Last updated
03/18/2008
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