Individual
DR. CARL LEROY DOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 W. GORE BLVD., LAWTON, OK 73505-6332
(580) 355-8620
(580) 250-5827
Mailing address
3401 W. GORE BLVD., LAWTON, OK 73505-6332
(580) 355-8620
(580) 250-5827
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G9583
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123838
CHIPS
TX
05
—
136917511
—
TX
01
—
DO08J0201
BCBS
TX
01
—
P00003380
MEDICARE RAILROAD
TX
Enumeration date
02/13/2006
Last updated
05/11/2010
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