Provider Demographics
NPI:1962491068
Name:TOBIAS, ROBERT D (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:TOBIAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3555 NW 58TH ST
Mailing Address - Street 2:SUITE 900
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4707
Mailing Address - Country:US
Mailing Address - Phone:405-917-0418
Mailing Address - Fax:405-917-0419
Practice Address - Street 1:13420 N PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-9007
Practice Address - Country:US
Practice Address - Phone:405-478-0633
Practice Address - Fax:405-478-5218
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-20
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
OK22873207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKA02968Medicare UPIN