Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist | PO000024 | PA |
NPI | 1033605068 |
---|---|
Provider Name | Robert William Dobson III |
First Address | Pittsburgh, PA 15201-1323 |
Second Address | Pittsburgh, PA 15201-1323 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2018 |
Last Update Date | 02/07/2018 |