Individual
DR. CHARLES R COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4870 S LEWIS AVE, SUITE 190, TULSA, OK 74105-5151
(918) 747-2642
(918) 742-7677
Mailing address
PO BOX 700296, TULSA, OK 74170-0296
(918) 747-2642
(918) 742-7677
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11789
OK
Other
Enumeration date
06/26/2005
Last updated
07/09/2007
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