Individual
D. BRADLEY COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4037 NOWATA RD, BARTLESVILLE, OK 74006-5118
(918) 333-8989
(918) 333-8991
Mailing address
4037 NOWATA RD, BARTLESVILLE, OK 74006-5118
(918) 333-8989
(918) 333-8991
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2095
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100765640A
—
OK
01
—
P00409517
RAILROAD MEDICARE
OK
Enumeration date
08/20/2006
Last updated
11/12/2020
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