MEDICARE: ALEKSANDAR CURCIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0117X	Orthopaedic Surgery of the Spine Physician	MD26094	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C105020	OTHER	OR	PACIFIC SOURCES
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	97420A005	OTHER	OR	TRICARE

General Provider Information

NPI Number	:	1851344691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEKSANDAR CURCIN MD

Provider Business Mailing Address
First Line	:	2699 N 17TH ST
Second Line	:
City	:	COOS BAY
State	:	OR
Zip	:	97420-2134
Country	:	US
Telephone Number	:	541-266-3600
Fax Number	:	541-269-0708

Provider Business Practice Location Address
First Line	:	2699 N 17TH ST
Second Line	:
City	:	COOS BAY
State	:	OR
Zip	:	97420-2134
Country	:	US
Telephone Number	:	541-266-3600
Fax Number	:	541-269-0708

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	07/08/2007

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