Individual
JOHN R GOBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 AL HIGHWAY 157, SUITE 101, CULLMAN, AL 35058-1271
(256) 739-4131
(256) 739-6027
Mailing address
503 CLARK ST NE, CULLMAN, AL 35055-1921
(256) 739-1759
(256) 739-0027
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7389
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164743068
—
AL
05
—
117969
—
AL
01
—
51026284
BCBS OF AL
AL
Enumeration date
11/15/2005
Last updated
03/28/2018
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