Individual
GLORIA PATRICIA OBERBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
636 KATTELL ST, ERIE, CO 80516-0445
(303) 828-9200
(303) 828-9204
Mailing address
PO BOX 445, ERIE, CO 80516-0445
(303) 828-9200
(303) 828-9204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32141
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C803326
MEDICARE GROUP PIN
CO
Enumeration date
02/28/2007
Last updated
05/03/2013
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