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Individual

TYLER L. COBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
750 POTOMAC ST STE L23, AURORA, CO 80011-6742
(303) 360-6276
(303) 789-7222
Mailing address
2255 S ONEIDA ST, DENVER, CO 80224-2522
(303) 761-1977
(303) 343-0247

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
8096
AZ
363A00000X
Physician Assistant
Primary
PA.0007074
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000205657
CO
Enumeration date
09/22/2020
Last updated
11/09/2023
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