Individual
DR. JOHN W OBRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
296 S 3RD W, SODA SPRINGS, ID 83276-1561
(208) 547-2779
(208) 547-4910
Mailing address
296 S 3RD W, SODA SPRINGS, ID 83276-1561
(208) 547-2779
(208) 547-4910
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
M3806
ID
208D00000X
General Practice Physician
Primary
M3806
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010005790
REGENCE BLUE SHIELD IDAHO
ID
01
—
38067
BLUE CROSS OF IDAHO
ID
Enumeration date
03/26/2007
Last updated
09/11/2025
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