Individual
JASON B COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4010 S MULBERRY ST, PINE BLUFF, AR 71603-7000
(870) 541-6000
(870) 541-3198
Mailing address
1400 OLD FORGE DR, # 304, LITTLE ROCK, AR 72227-5500
(870) 541-6000
(870) 541-3198
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E8567
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206364001
—
AR
Enumeration date
06/12/2009
Last updated
03/17/2015
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