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Individual

MIROSLAV PATRICK BOBEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2900 STATE ST, MEDFORD, OR 97504-8475
(541) 779-1672
(541) 779-0986
Mailing address
2900 STATE ST, MEDFORD, OR 97504-8475
(541) 779-1672
(541) 779-0986

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
4301066110
MI
207T00000X
Neurological Surgery Physician
Primary
MD23617
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
286530
OR
Enumeration date
07/19/2005
Last updated
12/06/2021
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