Individual
MICHAEL D BOBB JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1010 COLLEGE ST, OXFORD, NC 27565-1284
(919) 690-3000
Mailing address
167 S MAIN ST, ROSEVILLE, OH 43777-1284
(740) 697-7373
(740) 697-7683
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2012-00926
NC
207Q00000X
Family Medicine Physician
34008666
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0989499
—
OH
01
—
1417932294
GROUP NPI
—
05
—
2620597
—
OH
01
—
CA0426
GROUP MEDICARE PTAN
—
Enumeration date
05/05/2006
Last updated
10/17/2022
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