Individual
PETER CABALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
559 W WASHINGTON ST, BURNS, OR 97720-1441
(541) 573-8312
(541) 573-8627
Mailing address
557 W WASHINGTON ST, BURNS, OR 97720-1441
(541) 573-7281
(810) 767-7969
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DO199989
OR
207VX0000X
Obstetrics Physician
5101012996
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114328964
—
MI
05
—
1396843538
—
OR
01
—
160B576250
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/20/2006
Last updated
09/28/2023
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