Individual
DR. JAMES MILTON MOBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2030 LAKE AVE, PUEBLO, CO 81004-3536
(719) 564-4823
(719) 564-4858
Mailing address
110 E. ROUTT AVENUE, PUEBLO, CO 81004
(719) 543-8711
(719) 585-3038
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN-7119
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017550
DORAL
—
05
—
200372340A
—
KS
05
—
44526369
—
CO
Enumeration date
06/30/2006
Last updated
01/17/2014
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