Individual
DR. BRUCE LOUIS BOBEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 501-3601
(360) 501-3648
Mailing address
1750 THOMPSON RD, COOS BAY, OR 97420-2100
(503) 325-5411
(503) 325-3711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO16469
OR
207R00000X
Internal Medicine Physician
OP60928203
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009204
—
OR
05
—
226945
—
OR
Enumeration date
10/28/2005
Last updated
03/31/2022
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