Individual
CORBIN MOBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 793-9785
(509) 764-0344
Mailing address
9627 SUPERIOR CT NE, MOSES LAKE, WA 98837-8528
(509) 760-0399
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60285521
WA
Other
Enumeration date
06/13/2012
Last updated
09/23/2016
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