Provider Demographics
NPI:1912939141
Name:OBST, BRIAN JON (DO)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:JON
Last Name:OBST
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:PO BOX 16052
Mailing Address - Street 2:READING ANESTHESIA ASSOCIATES LTD
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19612-6052
Mailing Address - Country:US
Mailing Address - Phone:610-988-8589
Mailing Address - Fax:610-988-5976
Practice Address - Street 1:6TH AVENUE AND SPRUCE STREET
Practice Address - Street 2:READING ANESTHESIA ASSOCIATES LTD
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611
Practice Address - Country:US
Practice Address - Phone:610-988-8589
Practice Address - Fax:610-988-5976
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS012684207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology