Individual
MR. MARC G SOBLE
Active
Individual
MR. MARC G SOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD37017
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1509316
MEDICAID - MTI
TN
05
—
1509316
—
TN
01
—
300137011
RAILROAD MEDICARE
TN
05
—
3879874
—
TN
01
—
4049694
BCBS
TN
01
—
4049704
BCBS
TN
01
—
4201017
BCBS TN
TN
01
—
4291377
BCBS - MTI
TN
01
—
64059967
KY MEDICAID
KY
Enumeration date
05/26/2006
Last updated
11/30/2011
Update your record
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