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Individual

DR. BRIAN R OBERNEDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
903 OLD SCALP AVE, APT 275, JOHNSTOWN, PA 15904-1763
(814) 255-9100
(814) 255-9103
Mailing address
903 OLD SCALP AVE, APT 275, JOHNSTOWN, PA 15904-1763
(814) 255-9100
(814) 255-9103

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC004564R
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0018074670004
MEDICAL ASSISTANCE DPA
PA
05
0018074670004
PA
01
002072568
UNITED HEALTHCARE
01
037765
HGS ADMINISTRATORS
PA
01
053847
HIGHMARK FREEDOM BLUE
PA
01
136392
HEALTH AMERICA
PA
01
150686
UNISON
PA
01
1514662
PA MEDICARE ASSURED
PA
01
216097
UPMC
PA
01
341951
HEALTH ASSURANCE
PA
Enumeration date
06/06/2006
Last updated
07/18/2017
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