Individual
DR. MARK G. COBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9501 STATE AVE, SUITE 2, KANSAS CITY, KS 66111-1872
(913) 299-7200
(913) 334-4551
Mailing address
9501 STATE AVE, STE 2, KANSAS CITY, KS 66111-1871
(913) 299-7200
(913) 334-4451
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1098-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09088023
BLUE CROSS BLUE SHIELD OF KANSAS CITY
KS
Enumeration date
09/27/2005
Last updated
08/17/2016
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