Individual
GREGORY E. KOBAK
Active
Individual
GREGORY E. KOBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101234399
VA
2080P0206X
Pediatric Gastroenterology Physician
0101234399
VA
2080P0206X
Pediatric Gastroenterology Physician
Primary
39946
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005066100
—
MD
05
—
006739121
—
VA
05
—
1008601120001
—
PA
05
—
60878576
—
CO
05
—
89066C3
—
NC
Enumeration date
06/05/2006
Last updated
12/28/2022
Update your record
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