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Organization

GEORGE KUBAC MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE KUBAC M.D. (OWNER)
(541) 884-6233
Entity
Organization

Contact information

Practice address
2614 CLOVER ST, KLAMATH FALLS, OR 97601-1132
(541) 884-6233
(541) 880-2840
Mailing address
PO BOX 5109, KLAMATH FALLS, OR 97601-0119
(541) 882-1540
(541) 882-2583

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
MD20381
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
288168
OR
01
CH2248
RAILROAD MEDICARE
Enumeration date
12/20/2006
Last updated
01/05/2010
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