Doctor Name: | JOHN BOBBY |
NPI Number: | 1265405427 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D. O. |
License Number: | OS-005128L |
Business Practice Address: | 2000 Oxford Dr Suite 220 Bethel Park, PA - 151021827 |
Business Phone Number: | 4128311522 |
Business Fax Number: | 4128352746 |
Mailing Address: | 1910 Cochran Rd # Manor2, Suite 490 PITTSBURGH |
State: | PA |
Postal Code: | 152201203 |
Phone Number: | 4125312902 |
Fax Number: | 4125312948 |
NPI Enumeration Date: | 02/08/2006 |
NPI Last Update Date: | 05/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | OS-005128L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |