Individual
SCOTT CURTIS MOBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
475 W 940 N, PROVO, UT 84604-3301
(801) 357-7930
Mailing address
510 TROUT AVE, MOSES LAKE, WA 98837-5302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8320334-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2021
Last updated
06/06/2024
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