Provider Demographics
NPI:1679023170
Name:ANTHONY, BOBBY DOYCE (MD)
Entity Type:Individual
Prefix:DR
First Name:BOBBY
Middle Name:DOYCE
Last Name:ANTHONY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2026 S WALKING TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-1358
Mailing Address - Country:US
Mailing Address - Phone:405-743-3027
Mailing Address - Fax:
Practice Address - Street 1:2026 S WALKING TRAIL DR
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-1358
Practice Address - Country:US
Practice Address - Phone:405-743-3027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK8704207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery