Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI # | 1417037698 |
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| LBN Legal business name | RICHARD E OBRINGER PAC PROF CORP | ||||
| Authorized official | RICHARD O'BRINGER - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/16/2006 | ||||
| Last updated | 08/01/2008 - About 18 years ago | ||||
| Identifiers |
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