Organization
COBRA COMPANY OF ARIZONA, INC.
Active
Organization
COBRA COMPANY OF ARIZONA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ELDON LAWSON (VICE PRESIDENT)
(602) 978-6010
Entity
Organization
Contact information
Practice address
17224 N 43RD AVE, 109, GLENDALE, AZ 85308-4025
(602) 978-6010
(602) 938-1209
Mailing address
PO BOX 11779, GLENDALE, AZ 85318-1779
(602) 978-6010
(602) 938-1209
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1002718
AZ
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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