Individual
LARRY G MOBLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
15679 NE 23RD ST, CHOCTAW, OK 73020-8592
(405) 390-1800
(405) 390-3846
Mailing address
PO BOX 269064, OKLAHOMA CITY, OK 73126-9064
(405) 390-1800
(405) 390-3846
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2025
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100100430B
—
OK
Enumeration date
07/05/2006
Last updated
09/03/2010
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