Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROF. JACK A. GOBLE JR., PA-C
ActivePROF. JACK A. GOBLE JR., PA-C is a Medical Physician Assistant healthcare provider located in LUTHERVILLE, Maryland. NPI 1366715625 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · LUTHERVILLE, MD
Registration Details
- NPI Number
- 1366715625
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 17, 2012 (14.524180672 yrs)
- Last Updated
- Mar 5, 2013
- Licenses
-
C0001029 (MD)MA002128L (PA)
Practice Information
- Address
-
10755 FALLS RDSUITE 160LUTHERVILLE, MD, 210934515Browse MD providers · Browse ZIP 21093
- Phone
- 4102852777
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Physician Assistant
Other Medical Physician Assistant Providers in LUTHERVILLE, MD
| Name | Credential | NPI |
|---|---|---|
| JUSTIN COLIN EVERSON | MMS, PA-C | 1457604944 |
| CHARLOTTE LANPHEAR | — | 1497220826 |
| MRS. CAITLIN RIESS POWERS | PA | 1881159945 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.