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Dr. Robert Eugene Soderblom, MD
Specialist in Loma Linda, California
NPI 1386749067

Robert Eugene Soderblom is a Specialist based in Yucaipa, CA. Robert Eugene Soderblom practices in Loma Linda, CA and has the professional credentials of MD. The NPI Number for Robert Eugene Soderblom is 1386749067 and holds a License No. G12254 (California).

The current practice location address for Robert Eugene Soderblom is 11201 Benton St, Loma Linda, CA and can be reached out via phone at 909-825-7084 and via fax at 909-777-3858.

Location: 11201 Benton St, Loma Linda, CA, 92399-5023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386749067
Provider Name
Robert Eugene Soderblom
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11201 Benton St, Loma Linda, CA, 92399-5023
Phone Number
909-825-7084
Fax Number
909-777-3858
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AS4562193 01 CA NARCOTIC
G12254 01 CA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
11201 Benton St
City
Loma Linda
State
California
Zip
92357-1000
Phone Number
909-825-7084
Fax Number
909-777-3858
person
Provider Business Mailing Address Details
Address
11201 Benton St
City
Loma Linda
State
California
Zip
92357-1000
Phone Number
909-825-7084
Fax Number
909-777-3858
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G12254 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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