Individual
SELLAS PECOS COBLE
Active
Individual
SELLAS PECOS COBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
116667
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110236209
RAILROAD MEDICARE
MO
01
—
143206
BLUE CROSS BLUE SHIELD OF
MO
05
—
245304902
—
MO
01
—
457663
HEALTHLINK
MO
01
—
P00063568
RAILROAD MEDICARE
MO
Enumeration date
07/18/2006
Last updated
09/15/2025
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