Doctor Name: | MR. PAUL FREDRICK WOBBE |
NPI Number: | 1437284320 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | NP10047 |
Business Practice Address: | 575 N Thompson Dr Tipton, CA - 93272 |
Business Phone Number: | 5597524147 |
Business Fax Number: | |
Mailing Address: | 10306 Cheyenne Dr, BAKERSFIELD |
State: | CA |
Postal Code: | 93312 |
Phone Number: | 6615889816 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP10047 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |