Individual
DAVID OBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11560 COUNTY ROUTE FF0.75, LAS ANIMAS, CO 81054-0000
(719) 456-2610
(719) 456-2028
Mailing address
615 S. HAHNS PEAK AVENUE, PUEBLO WEST, CO 81007-2898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30326
CO
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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