Organization
WILLCOLL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LLOYD WESLEY MOBLEY III M.D. (OWNER)
(720) 985-5899
Entity
Organization
Contact information
Practice address
9695 S YOSEMITE ST, #377, LONE TREE, CO 80124-2888
(303) 814-1340
(303) 814-1134
Mailing address
9695 S YOSEMITE ST, #377, LONE TREE, CO 80124-2888
(303) 814-1340
(303) 814-1134
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
20141104585
CO
Other
Enumeration date
03/28/2014
Last updated
10/03/2014
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