=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982679197
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CURTIS J HOBBS M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/21/2006
-----------------------------------------------------
Last Update Date | 07/09/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
-----------------------------------------------------
City | TACOMA
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98431-0001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 253-968-1460
-----------------------------------------------------
Fax | 253-968-0448
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 512 SOUTHCOTT LN
-----------------------------------------------------
City | STEILACOOM
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98388-2912
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 253-582-2023
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RE0101X
-----------------------------------------------------
Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
-----------------------------------------------------
License Number | 24552
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------