Individual
DR. JEFFRY SHOBE LIFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1 KENTON DR, SUITE 20, CHARLESTON, WV 25311-1256
(702) 289-6659
Mailing address
1 KENTON DR, SUITE 20, CHARLESTON, WV 25311-1256
(702) 289-6659
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11428
WV
207Q00000X
Family Medicine Physician
C53595
CA
Other
Enumeration date
03/26/2013
Last updated
10/06/2016
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