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Individual
GLENN LEE DOBBS
Active
Individual
GLENN LEE DOBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
02001767A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000576533
ANTHEM PROVIDER #
IN
05
—
200105500
—
IN
Enumeration date
07/11/2006
Last updated
09/14/2012
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