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NPI Code Detail

MEDICARE: DR. MICAH CHRISTIAN HOBBS D.O.

MEDICARE: DR. MICAH CHRISTIAN HOBBS D.O.
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
1207X00000XOrthopaedic Surgery Physician2011001614MO

General Provider Information

NPI Number : 1609033521
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICAH CHRISTIAN HOBBS D.O.
Provider Business Mailing Address
First Line : 425 NORTH NEW BALLAS ROAD
Second Line : SUITE 230
City : ST. LOUIS
State : MO
Zip : 63141-6848
Country : US
Telephone Number : 314-266-2066
Fax Number : 314-266-2069
Provider Business Practice Location Address
First Line : 425 NORTH NEW BALLAS ROAD
Second Line : SUITE 230
City : ST. LOUIS
State : MO
Zip : 63141-6848
Country : US
Telephone Number : 314-266-2066
Fax Number : 314-266-2069
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2008
Last Update Date : 05/30/2024

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