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Individual

MR. JAYSON A COBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62702-5324
(217) 544-6464
Mailing address
3132 OLD JACKSONVILLE RD STE 110, SPRINGFIELD, IL 62704-7401
(217) 588-2600
(217) 862-0904

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002176
IL
363AS0400X
Surgical Physician Assistant
085002176
IL

Other

Enumeration date
09/27/2005
Last updated
04/21/2026
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