Individual
SAIGE ELYSE KUBAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 882-6311
Mailing address
1050 SUNSET BEACH RD, KLAMATH FALLS, OR 97601-1782
(541) 218-3122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD211405
OR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/29/2019
Last updated
09/05/2022
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