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Individual

DR. ROBERT MICHAEL OBRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1245 WESTGATE PKWY, DOTHAN, AL 36303
(334) 793-9595
(334) 793-1578
Mailing address
1245 WESTGATE PKWY, DOTHAN, AL 36303
(334) 793-9595
(334) 793-1578

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11690
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000082000
AL
05
00008201
AL
01
051082000
BLUE CROSS
AL
01
051082001
BLUE CROSS
AL
Enumeration date
12/28/2005
Last updated
09/02/2014
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