JONATHAN K STOBAUGH

SAN BERNARDINO, CA
NPI1063447647
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA10962)
Enumeration Date2006-07-11
Last Update Date2017-09-21
Business Address
-- JONATHAN K STOBAUGH PA-C
401 E HIGHLAND AVE SUITE 251
SAN BERNARDINO, CA 92404-3803
Phone number: 909-882-4605
Mailing Address
-- JONATHAN K STOBAUGH PA-C
3400 DATA DR ATTN: CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 95670-7956
Phone number:
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