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Individual
JOCK S COBB
Active
Individual
JOCK S COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-4432
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106684001
—
AR
Enumeration date
08/13/2006
Last updated
05/07/2015
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