Dr. Bruce Louis Bobek, D.O.
Internal Medicine in Longview, WA. Individual provider (NPI-1).
NPI number1225028343
StatusActive
Last updated in NPPESMar 31, 2022
Details
- NPI
- 1225028343
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bruce Louis Bobek
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2005
- Certification date
- Mar 31, 2022
- Last updated
- Mar 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | DO16469 | OR | Yes |
| 207R00000X | Internal Medicine | OP60928203 | WA |
Practice location
1615 Delaware StLongview, WA 98632-2367
Phone 360-501-3601 · Fax 360-501-3648
Mailing address
1750 Thompson RdCoos Bay, OR 97420-2100
Phone 503-325-5411 · Fax 503-325-3711
Other practice locations
515 15th St
Astoria, OR 97103-3812
Astoria, OR 97103-3812
Phone 503-325-5411 · Fax 503-325-3711
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