Individual
DAVID ROBERT KOBLISKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
890 RIVER RD, EUGENE, OR 97404-3260
(541) 688-0674
(541) 688-5378
Mailing address
890 RIVER RD, EUGENE, OR 97404-3260
(541) 688-0674
(541) 688-5378
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD195663
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500784346
—
OR
Enumeration date
08/01/2006
Last updated
04/20/2023
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