# CRAIG BOBSON NORTH STREET FAMILY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821286089
- **Authorized official:** CRAIG BOBSON M.D. (OWNER)
- **Authorized official phone:** (209) 825-7748

## Contact information

- **Practice address:** 1140 NORMAN DR, SUITE 101, MANTECA, CA 95336-5955
- **Practice address phone:** (209) 825-7748
- **Mailing address:** 1140 NORMAN DR, SUITE 101, MANTECA, CA 95336-5955
- **Mailing address phone:** (209) 825-7748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2007
- **Last updated:** 03/24/2008