Individual
BOBBI S UNDERHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A7564
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020A75640
MEDICARE PTAN
CA
01
—
P01283856/DS9933
RAILROAD MEDICARE
CA
01
—
P01453324-DV5277
RAILROAD MEDICARE
CA
Enumeration date
09/21/2006
Last updated
04/07/2017
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