Individual
DR. CRAIG BOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1140 NORMAN DR, SUITE 101, MANTECA, CA 95336-5900
(209) 825-7748
Mailing address
1140 NORMAN DR # 101, MANTECA, CA 95336-5900
(209) 825-7748
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
GO50859
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G508590
—
CA
Enumeration date
10/03/2005
Last updated
02/21/2008
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