Individual
DAVID W OBERKROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 W 10TH ST, SUITE 100, SEDALIA, MO 65301-2540
(660) 827-0015
(660) 827-7425
Mailing address
512 W MAIN ST, P O BOX 158, COLE CAMP, MO 65325-0158
(660) 668-0851
(660) 668-3041
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
100576
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203394127
—
MO
01
—
23141020
BLUE CROSS BLUE SHIELD
MP
Enumeration date
07/07/2005
Last updated
12/01/2022
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