Individual
BRIAN KOEBERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
4600 BROADWAY, SUITE 2200, SACRAMENTO, CA 95820-1527
(916) 874-9227
Mailing address
4600 BROADWAY, SUITE 2200, SACRAMENTO, CA 95820-1527
(916) 874-9227
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95039802
CA
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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