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Individual

DR. PHILLIP KELLEY BOBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
32 15TH ST, TUSCALOOSA, AL 35401-3661
(205) 345-2326
(205) 345-0708
Mailing address
32 15TH ST, TUSCALOOSA, AL 35401-3661
(205) 345-2326
(205) 345-0708

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
00006261
AL
208D00000X
General Practice Physician
Primary
00006261
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0133467
NATIONAL COUNCIL FOR PRES
Enumeration date
06/28/2006
Last updated
09/11/2025
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