Troy Gober, PT | |
1102 Nw Bank Blvd Ste 100, Enid, OK 73703-2556 | |
(580) 237-7896 | |
Not Available |
Full Name | Troy Gober |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1102 Nw Bank Blvd Ste 100, Enid, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831970201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2336 (Oklahoma) | Primary |
Provider Name | Valir Outpatient Clinics Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1982683306 PECOS PAC ID: 3072562412 Enrollment ID: O20091005000532 |
Mailing Address | Practice Location Address |
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Troy Gober, PT Po Box 643001, Dallas, TX 75264-3001 Ph: (405) 553-1197 | Troy Gober, PT 1102 Nw Bank Blvd Ste 100, Enid, OK 73703-2556 Ph: (580) 237-7896 |
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