Individual
RANDALL D COBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
550 GAGE BLVD, RICHLAND, WA 99352-9532
(509) 946-7646
(509) 946-7666
Mailing address
310 TORBETT ST, RICHLAND, WA 99354-2604
(509) 946-7646
(509) 946-7666
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003668
WA
363AM0700X
Medical Physician Assistant
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005315
—
WA
Enumeration date
06/21/2006
Last updated
12/21/2018
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