Organization
ELIJAH MOBLEY MD INCORPORATED
Active
Other names
ELIJAH MOBLEY MD INC
Organization subpart
No
Provider details
NPI number
Authorized official
CONITHA CLEMONS (MEDICAL BILLING PRACTICE MANAGER)
(909) 441-2547
Entity
Organization
Contact information
Practice address
15366 11TH ST STE Q, VICTORVILLE, CA 92395-3726
(760) 241-6201
(760) 241-6203
Mailing address
20258 US HIGHWAY 18, SUITE 430-PMB 514, APPLE VALLEY, CA 92307-6197
(760) 946-5177
(760) 946-5133
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G81875
CA
Other
Enumeration date
01/07/2010
Last updated
08/24/2023
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