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Individual

ERIC OBERST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(270) 706-5275
(270) 706-1051
Mailing address
1200 NW 23RD AVE, PORTLAND, OR 97210-2906
(503) 413-7074

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TP645
KY

Other

Enumeration date
04/10/2016
Last updated
08/16/2019
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