Individual
DR. JONATHAN MICHAEL MOBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3700 JOSEPH SIEWICK DR STE 101, FAIRFAX, VA 22033-1737
(703) 698-1856
(703) 207-0843
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101256473
VA
208800000X
Urology Physician
2012009848
MO
Other
Enumeration date
06/24/2006
Last updated
06/02/2022
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