Individual
DR. GEORGE T KOBUROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
404 N KEENE ST, COLUMBIA, MO 65201-6626
(573) 875-9400
(573) 874-1547
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
2012015982
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205647605
—
MO
Enumeration date
12/07/2006
Last updated
09/02/2022
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