Individual
DR. DAX KURBEGOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 N FOOTE AVE, SUITE 202, COLORADO SPRINGS, CO 80909-4554
(719) 365-6568
(719) 365-6317
Mailing address
525 N FOOTE AVE, SUITE 202, COLORADO SPRINGS, CO 80909-4554
(719) 365-6568
(719) 365-6317
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME90503
FL
207RH0003X
Hematology & Oncology Physician
Primary
DR-37894
CO
207RH0003X
Hematology & Oncology Physician
ME90503
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40984249
—
CO
Enumeration date
08/20/2006
Last updated
06/04/2010
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