Individual
DR. PETER PAUL KOBILSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(215) 707-3326
(215) 707-8028
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-1078
(417) 347-1079
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2007010594
MO
207L00000X
Anesthesiology Physician
25499
OK
207L00000X
Anesthesiology Physician
E-4539
AR
207L00000X
Anesthesiology Physician
E4539
AR
207L00000X
Anesthesiology Physician
Primary
MD421749
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200059360A
—
OK
01
—
P00656491
RAILROAD MEDICARE
OK
Enumeration date
12/01/2005
Last updated
01/15/2020
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