Individual
DR. RUSSELL WAYNE BOBO
Active
Individual
DR. RUSSELL WAYNE BOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
26009
NE
207L00000X
Anesthesiology Physician
Primary
DR.0029916
CO
207L00000X
Anesthesiology Physician
F5473
TX
207L00000X
Anesthesiology Physician
TL#1443
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01299163
—
CO
05
—
102557100
—
WY
Enumeration date
10/06/2005
Last updated
06/06/2013
Update your record
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