MEDICARE: DR. JOHN R DOBSON 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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	107768	MO

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902884026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN R DOBSON MD

Provider Business Mailing Address
First Line	:	7800 W 110TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66210-2304
Country	:	US
Telephone Number	:	913-338-4070
Fax Number	:	913-338-4245

Provider Business Practice Location Address
First Line	:	7800 W 110TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66210-2304
Country	:	US
Telephone Number	:	913-338-4070
Fax Number	:	913-338-4245

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

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	07/29/2014

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Directions to “ DR. JOHN R DOBSON MD” Practice Location

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