Dr John W Obray, MD is a
General Practice physician based in Soda Springs, Idaho. Dr John W Obray is licensed to practice in Idaho (license number M3806) and his current practice location is 296 S 3rd W, Soda Springs, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 547-2779.
NPI number for Dr John W Obray is 1396862033 and his current mailing address is 296 S 3rd W, Soda Springs, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396862033.
Physician's Profile
| Full Name | Dr John W Obray |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 296 S 3rd W, Soda Springs, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1396862033
- Provider Enumeration Date: 03/26/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr John W Obray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396862033 | NPI | - | NPPES |
| 000010005790 | Other | ID | REGENCE BLUE SHIELD IDAHO |
| 38067 | Other | ID | BLUE CROSS OF IDAHO |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | M3806 (Idaho) | Primary |
| 208D00000X | General Practice | M3806 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John W Obray is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John W Obray, MD
296 S 3rd W,
Soda Springs, ID 83276-1561
Ph: (208) 547-2779 | Dr John W Obray, MD
296 S 3rd W,
Soda Springs, ID 83276-1561
Ph: (208) 547-2779 |
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