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Individual
BOB R ABERNATHY
Active
Individual
BOB R ABERNATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2075
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08013806
RAILROAD MC
—
05
—
100101100A
—
OK
01
—
100101100C
SOONERCARE CHOICE
OK
01
—
125307900
DOL
OK
01
—
321802700
DEPARTMENT OF LABOR
OK
Enumeration date
05/24/2005
Last updated
09/29/2026
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