Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | OH000387 | PA |
N | 222Z00000X | Podiatrist | OH000387 | PA |
Y | 224P00000X | Prosthetist | PO000282 | PA |
NPI | 1376179903 |
---|---|
Provider Name | Mr. Robert William Dobson IV |
First Address | Rochester, PA 15074-1414 |
Second Address | Rochester, PA 15074-1414 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2020 |
Last Update Date | 16/03/2020 |