Provider Demographics
NPI:1528042348
Name:ROEBKEN, CURTIS K (MD)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:K
Last Name:ROEBKEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1125 SIR FRANCIS DRAKE BLVD
Mailing Address - Street 2:KENTFIELD REHAB
Mailing Address - City:KENTFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94904-1418
Mailing Address - Country:US
Mailing Address - Phone:415-485-3505
Mailing Address - Fax:415-453-1969
Practice Address - Street 1:1125 SIR FRANCIS DRAKE BLVD
Practice Address - Street 2:KENTFIELD REHAB
Practice Address - City:KENTFIELD
Practice Address - State:CA
Practice Address - Zip Code:94904-1418
Practice Address - Country:US
Practice Address - Phone:415-485-3505
Practice Address - Fax:415-453-1969
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA24747207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A247470Medicaid
CAA24112Medicare UPIN
CA00A247470Medicare PIN