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NPI Code Detail

MEDICARE: DR. JOHN FRANKLIN BOBER M.D.

MEDICARE: DR. JOHN FRANKLIN BOBER 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
12084P0804XChild & Adolescent Psychiatry Physician35.052930OH

General Provider Information

NPI Number : 1568458529
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN FRANKLIN BOBER M.D.
Provider Business Mailing Address
First Line : 1056 BRIGANTINE AVE
Second Line :
City : UNIONTOWN
State : OH
Zip : 44685-6241
Country : US
Telephone Number : 330-689-6829
Fax Number :
Provider Business Practice Location Address
First Line : 2285 BENDEN DR
Second Line :
City : WOOSTER
State : OH
Zip : 44691-2568
Country : US
Telephone Number : 330-264-9029
Fax Number : 330-263-7251
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2005
Last Update Date : 08/12/2020

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