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NPI Code Detail

MEDICARE: DR. JOHN ANTHONY SOBECK MD

MEDICARE:  DR. JOHN ANTHONY SOBECK  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
1207V00000XObstetrics & Gynecology PhysicianMD19671OR
2207V00000XObstetrics & Gynecology PhysicianMD00028924WA

General Provider Information

NPI Number : 1366544900
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN ANTHONY SOBECK MD
Provider Business Mailing Address
First Line : 5766 SOLANA LN NE
Second Line :
City : BAINBRIDGE ISLAND
State : WA
Zip : 98110-2669
Country : US
Telephone Number : 360-609-2041
Fax Number :
Provider Business Practice Location Address
First Line : 5766 SOLANA LN NE
Second Line :
City : BAINBRIDGE ISLAND
State : WA
Zip : 98110-2669
Country : US
Telephone Number : 360-609-2041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2006
Last Update Date : 02/07/2022

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Directions to “ DR. JOHN ANTHONY SOBECK MD” Practice Location

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