Provider Demographics
NPI:1679067474
Name:CHRISTOPHER ROBERT DOBSON MD
Entity type:Organization
Organization Name:CHRISTOPHER ROBERT DOBSON MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:DOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-495-0843
Mailing Address - Street 1:181 REA AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-3964
Mailing Address - Country:US
Mailing Address - Phone:248-495-0843
Mailing Address - Fax:619-488-6613
Practice Address - Street 1:181 REA AVE STE 201
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-3964
Practice Address - Country:US
Practice Address - Phone:248-495-0843
Practice Address - Fax:619-488-6613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-15
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA138370208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty