# DR. JOHN W OBRAY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1396862033
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | M3806 | ID | — |
| 208D00000X | General Practice Physician | M3806 | ID | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000010005790 | REGENCE BLUE SHIELD IDAHO | ID |
| 01 | — | 38067 | BLUE CROSS OF IDAHO | ID |