Individual
LISA GOBAR
Active
Individual
LISA GOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
32519
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
859598
—
AZ
01
—
P00185007
RR MEDICARE
AZ
01
—
Z106077
# FOR SOUTHWEST PET INST.
AZ
01
—
Z65460
# FOR SOUTHWEST PET INST.
AZ
Enumeration date
02/10/2006
Last updated
05/29/2008
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