Raul Eduardo Cubillas Manrique M.D

NPI 1679636120 - Internal Medicine - 207RG0100X

NPI Details
NPI 1679636120
Gender Male
Enumeration Date 12/18/2006
Last Updated 11/30/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
111 FAIRVIEW PARK DR
DUBLIN GA, 31021-2501, US
Phone (478) 277-1255
Fax (478) 277-1922
Business Location
PO BOX 1925
DUBLIN GA, 31040-1925, US
Phone (478) 277-1255
Fax (478) 277-1922
Toxanomy
Taxonomy Code 207RG0100X
License State Indiana
License Number 01063094A
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According to our database, Raul Eduardo Cubillas Manrique M.D NPI is 1679636120, taxonomy code is 207RG0100X and license number is 01063094A, license state is located at Indiana. Raul Eduardo Cubillas Manrique M.D physically located at 111 Fairview Park Dr, Dublin GA, 31021-2501. NPI Number Raul Eduardo Cubillas Manrique M.D has the Individual type.

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1679636120 NPI number is provided on an as is basis without warranty of any kind. 1679636120 is maintained by the National Plan & Provider Enumeration System. The contents of Raul Eduardo Cubillas Manrique M.D are for informational purposes only.