Individual
DR. HARRY WILLI KUBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15225 HIGHWAY 43 STE F, RUSSELLVILLE, AL 35653-1969
(256) 331-9408
(256) 331-9530
Mailing address
PO BOX 1224, RUSSELLVILLE, AL 35653-1224
(256) 331-9408
(256) 331-9530
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23483
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009935340
—
AL
01
—
510-98259
BLUECROSS BLUESHIELD
AL
Enumeration date
01/23/2007
Last updated
08/17/2011
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