Individual provider · Type 1 NPI

Jack A. Goble Jr., PA-C

Medical Physician Assistant · Lutherville, MD

NPI number 1366715625 Active

Practice location

10755 Falls Rd, Suite 160
Lutherville, MD 21093-4515

Mailing address

100 Lee St
Stewartstown, PA 17363-4061

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0001029 (MD)
Physician Assistant 363A00000XMA002128L (PA)

Medical Physician Assistant: Definition to come...

89 other providers at this address

Other medical physician assistant providers in Lutherville

See all in Lutherville →

About NPI 1366715625

Jack A. Goble Jr., PA-C's National Provider Identifier is 1366715625, issued on Feb 17, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lutherville, MD. The record was last updated on Mar 5, 2013.