Provider Demographics
NPI:1699015206
Name:DOBEY, BRUCE (PA-C)
Entity Type:Individual
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First Name:BRUCE
Middle Name:
Last Name:DOBEY
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:5300 N INDEPENDENCE AVE
Mailing Address - Street 2:SUITE 280
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5556
Mailing Address - Country:US
Mailing Address - Phone:405-713-9940
Mailing Address - Fax:405-713-9941
Practice Address - Street 1:3433 NW 56TH ST
Practice Address - Street 2:SUITE 950
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4455
Practice Address - Country:US
Practice Address - Phone:405-713-9940
Practice Address - Fax:405-713-9941
Is Sole Proprietor?:No
Enumeration Date:2013-02-19
Last Update Date:2017-07-21
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Provider Licenses
StateLicense IDTaxonomies
OK2207363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant