Individual
JIRI FRANCIS KUBAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
351 N BUFFALO DR STE B, LAS VEGAS, NV 89145-0301
(702) 505-4230
(702) 505-4231
Mailing address
351 N BUFFALO DR STE B, LAS VEGAS, NV 89145-0301
(702) 505-4230
(702) 505-4231
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21157
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821592684
—
NV
Enumeration date
03/19/2018
Last updated
07/08/2021
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