Individual
MR. CHARLES GERARD HURBIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2695 N 17TH ST, COOS BAY, OR 97420-2134
(541) 266-0900
(541) 266-0800
Mailing address
2695 N 17TH ST, COOS BAY, OR 97420-2134
(541) 266-0900
(541) 266-0800
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
MD16892
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011820
—
OR
Enumeration date
12/11/2006
Last updated
07/08/2007
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