Individual
BRUCE R SCHOBER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
109B FLEETWOOD DR, EASLEY, SC 29640-2019
(864) 855-1036
(864) 855-3318
Mailing address
109B FLEETWOOD DR, EASLEY, SC 29640-2019
(864) 855-1036
(864) 855-3318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
851
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008510
—
SC
01
—
PA4726
GROUP MEDICAID NUMBER
SC
Enumeration date
09/22/2005
Last updated
07/09/2007
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