Virginia Anne Koubek, M.D.

NPI #1962644013 in Jackson, Tennessee

Provider Information

NPI Number: 1962644013
Entity Type: Individual
Name: Virginia Anne Koubek, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Apr 2, 2009
Last Updated: Dec 8, 2014

Practice Location

Address: 87 MURRAY GUARD DR STE B
City: Jackson
State: Tennessee
ZIP Code: 38305-3775
Phone: (731) 664-1375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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