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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