Individual
MR. KOBIE I DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 W 6TH AVE, GARY, IN 46402-1711
(219) 885-4264
(219) 880-0182
Mailing address
1100 W 6TH AVE, GARY, IN 46402-1711
(219) 885-4264
(219) 882-0962
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01071030A
IN
2084P0800X
Psychiatry Physician
036-115467
IL
Other
Enumeration date
09/13/2006
Last updated
11/22/2013
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