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Individual

SHAUN M HOBSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2699 N 17TH ST, COOS BAY, OR 97420-2134
(541) 266-3600
(541) 269-0708
Mailing address
2699 N 17TH ST, COOS BAY, OR 97420-2134
(541) 266-3600
(541) 269-0708

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD22824
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
288174
OR
01
97420A016
TRICARE
01
C105016
PACIFIC SOURCE
Enumeration date
05/31/2006
Last updated
07/08/2007
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