Individual
MR. JEFFREY ALDEN MOBERG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
810 N WELO ST, TIOGA, ND 58852-7157
(701) 664-3305
Mailing address
810 N WELO ST, TIOGA, ND 58852-7157
(701) 664-3305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0486
—
Other
Enumeration date
06/06/2012
Last updated
06/04/2024
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