Individual
DR. CHARLOTTE DAI KUBICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
2 MEDICAL PLAZA DR STE 180, ROSEVILLE, CA 95661-3049
(916) 781-1225
Mailing address
10470 OLD PLACERVILLE RD STE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A85664
CA
2085R0001X
Radiation Oncology Physician
MD27649
OR
Other
Enumeration date
05/23/2007
Last updated
08/23/2018
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