Individual
CARL WADE COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 PORTER DR, RADIOLOGY DEPARTMENT, MIDDLEBURY, VT 05753-8423
(802) 388-8851
(802) 388-8821
Mailing address
115 PORTER DR, RADIOLOGY DEPARTMENT, MIDDLEBURY, VT 05753-8423
(802) 388-8851
(802) 388-8821
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
042-0010110
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN2386
—
VT
Enumeration date
06/21/2006
Last updated
07/08/2007
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