Individual
SELLAS PECOS COBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
600 BLUES LAKE PKWY, ROLLA, MO 65401-8022
(573) 364-8822
(573) 202-2402
Mailing address
600 BLUES LAKE PKWY, ROLLA, MO 65401-8022
(573) 364-8822
(573) 202-2404
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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