| Cobb Medical Pllc | |
|
1779 S 8th St Ste A Colorado Springs CO 80905-1985 | |
| (719) 301-7450 | |
| Not Available |
| Full Name | Cobb Medical Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1779 S 8th St Ste A, Colorado Springs, Colorado |
| Authorized Official Name and Position | Edward Allen Cobb (PRESIDENT) |
| Authorized Official Contact | 4155153097 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cobb Medical Pllc 150 Watch Hill Dr Apt B Colorado Springs CO 80906-7946 Ph: (415) 515-3097 | Cobb Medical Pllc 1779 S 8th St Ste A Colorado Springs CO 80905-1985 Ph: (719) 301-7450 |
| NPI Number | 1699432492 |
|---|---|
| Provider Enumeration Date | 11/29/2021 |
| Last Update Date | 11/29/2021 |
| Medicare PECOS PAC ID | 8628461274 |
|---|---|
| Medicare Enrollment ID | O20220203001923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699432492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Edward A Cobb |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720307325 PECOS PAC ID: 5193947810 Enrollment ID: I20141113001669 |
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