Organization
BOBEK ENTERPRISES PC
Active
Other names
angel medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE LOUIS BOBEK D.O. (PRESIDENT)
(503) 325-5411
Entity
Organization
Contact information
Practice address
515 15TH ST, ASTORIA, OR 97103-3812
(503) 325-5411
(503) 325-3711
Mailing address
515 15TH ST, ASTORIA, OR 97103-3812
(503) 325-5411
(503) 325-3711
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
DO16469
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009204
—
OR
Enumeration date
08/17/2007
Last updated
08/04/2011
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