Individual
RICHARD KUBISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7700 S BROADWAY, LITTLETON ADVENTIST HOSPITAL, EMERGENCY DEPARTMENT, LITTLETON, CO 80122-2602
(303) 778-5666
(303) 759-0864
Mailing address
1241 W MINERAL AVE, SUITE 100, LITTLETON, CO 80120-5685
(303) 759-0854
(303) 759-0864
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
43873
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43521266
—
CO
Enumeration date
05/04/2006
Last updated
03/16/2010
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