Organization
CRAIG BOBSON NORTH STREET FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG BOBSON M.D. (OWNER)
(209) 825-7748
Entity
Organization
Contact information
Practice address
1140 NORMAN DR, SUITE 101, MANTECA, CA 95336-5955
(209) 825-7748
Mailing address
1140 NORMAN DR, SUITE 101, MANTECA, CA 95336-5955
(209) 825-7748
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ26104Z
MEDICARE
CA
Enumeration date
10/11/2007
Last updated
03/24/2008
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