Organization
D. BRADLEY COBB O.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. D BRADLEY COBB OD (PRESIDENT)
(918) 333-8989
Entity
Organization
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
—
200107460A
—
OK
01
—
DG0202
RAILROAD MEDICARE
OK
Enumeration date
09/13/2006
Last updated
07/15/2008
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