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Individual

GREGORY TUBAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
777 BANNOCK ST, MC 7782, DENVER, CO 80204-4507
(303) 436-6000
Mailing address
777 BANNOCK ST, MC 7782, DENVER, CO 80204-4507
(303) 436-6000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
44484
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
81557566
CO
Enumeration date
08/08/2006
Last updated
07/08/2007
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