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Individual

ELIJAH MOBLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15366 11TH ST STE Q, VICTORVILLE, CA 92395-3726
(760) 241-6201
(760) 241-6203
Mailing address
20258 US HIGHWAY 18, PMB 514 STE 430, APPLE VALLEY, CA 92307-6197
(760) 946-0100
(760) 946-3176

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
5725
SD
208600000X
Surgery Physician
Primary
CA286A
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6631230
SD
Enumeration date
02/23/2006
Last updated
10/02/2023
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