MEDICARE: JOHN TOBEY 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	208100000X	Physical Medicine & Rehabilitation Physician	41545	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013902352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN TOBEY MD

Provider Business Mailing Address
First Line	:	5387 MANHATTAN CIR
Second Line	:	SUITE 200
City	:	BOULDER
State	:	CO
Zip	:	80303-4284
Country	:	US
Telephone Number	:	303-494-7773
Fax Number	:

Provider Business Practice Location Address
First Line	:	5387 MANHATTAN CIR
Second Line	:	SUITE 200
City	:	BOULDER
State	:	CO
Zip	:	80303-4284
Country	:	US
Telephone Number	:	303-494-7773
Fax Number	:

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

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	05/04/2017

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