Individual
JOHN BOBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. O.
Contact information
Practice address
2000 OXFORD DR, SUITE 220, BETHEL PARK, PA 15102-1827
(412) 831-1522
(412) 835-2746
Mailing address
1910 COCHRAN RD # MANOR2, SUITE 490, PITTSBURGH, PA 15220-1203
(412) 531-2902
(412) 531-2948
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS005128L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011301260002
—
PA
01
—
080058903
RAILROAD MEDICARE PTAN
—
Enumeration date
02/08/2006
Last updated
03/05/2018
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