| Stephen Kolpacoff Md | |
|
101 E Oberlin Road Yreka CA 96097-1146 | |
| (530) 842-4445 | |
| (530) 842-9054 |
| Full Name | Stephen Kolpacoff Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 E Oberlin Road, Yreka, California |
| Authorized Official Name and Position | Stephen Kolpacoff (OWNER) |
| Authorized Official Contact | 5308424445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Kolpacoff Md 105 E Oberlin Rd P O Box 1146 Yreka CA 96097-9645 Ph: (530) 842-4445 | Stephen Kolpacoff Md 101 E Oberlin Road Yreka CA 96097-1146 Ph: (530) 842-4445 |
| NPI Number | 1518138544 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 03/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518138544 | NPI | - | NPPES |
| 00G611320 | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G61132 (California) | Primary |
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