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Contact Information

GEORGE T KOBUROV, MD
404 N KEENE ST
COLUMBIA, MO65201-6626
 Phone: 573-875-9400
 Fax: 573-874-1547
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for GEORGE T KOBUROV · (Male)

NPI # 1205995008
Status Active
Credentials MD
Entity Individual
Enumeration date 12/07/2006
Last updated 09/02/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2012015982
  • MO Medicaid 205647605
Hospital affiliation(s)
  • UNIVERSITY OF MISSOURI HEALTH CARE - (Acute Care)
    ONE HOSPITAL DRIVE, ROOM CE121, DC031,00
    COLUMBIA, MO 65212
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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