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Individual

GUY D GOBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3064
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3064

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
033336
GA
208800000X
Urology Physician
76526
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00432792A
GA
01
52023199
BLUE CROSS BLUE SHIELD
GA
Enumeration date
07/07/2005
Last updated
04/22/2024
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