Individual
BRUCE MOBERLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
475 SCARBOROUGH RD, VALPARAISO, IN 46385-8013
(219) 477-1737
(219) 477-1737
Mailing address
475 SCARBOROUGH RD, VALPARAISO, IN 46385-8013
(219) 477-1737
(219) 477-1737
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02001413A
IN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
02001413
IN
Other
Enumeration date
08/05/2006
Last updated
10/17/2013
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