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NPI Code Detail

MEDICARE: DR. DAVID WILLIAM BOBB M.D

MEDICARE: DR. DAVID WILLIAM BOBB M.D
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
1174400000XSpecialist22289OK
2207X00000XOrthopaedic Surgery Physician22289OK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4200041383OTHEROKRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2729525OTHEROKAETNA
30195480001OTHEROKPALMETTO

General Provider Information

NPI Number : 1043218829
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID WILLIAM BOBB M.D
Provider Business Mailing Address
First Line : PO BOX 654354
Second Line :
City : DALLAS
State : TX
Zip : 75265-4354
Country : US
Telephone Number : 405-364-7900
Fax Number : 405-366-6214
Provider Business Practice Location Address
First Line : 825 E ROBINSON ST
Second Line :
City : NORMAN
State : OK
Zip : 73071-6610
Country : US
Telephone Number : 405-364-7900
Fax Number : 405-366-6214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 04/11/2023

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