Individual
DR. BROOKE KUBAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 MEDICAL PLAZA DR STE 205, ROSEVILLE, CA 95661-3044
(916) 773-8711
(916) 503-7693
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A198619
CA
2084N0400X
Neurology Physician
R-11483
IA
Other
Enumeration date
05/17/2019
Last updated
11/13/2024
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