Individual
DR. JERRY C BOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
474 W VERMONT AVE STE 104, ESCONDIDO, CA 92025-6584
(760) 432-9884
(760) 432-9953
Mailing address
474 W VERMONT AVE STE 104, ESCONDIDO, CA 92025-6584
(760) 432-9884
(760) 432-9953
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G084025
CA
Other
Enumeration date
08/31/2006
Last updated
02/29/2012
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