Individual
DR. TYSON COBB
Active
Individual
DR. TYSON COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
C35334
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060065322
RAILROAD MEDICARE
CA
01
—
DB3373
RAILROAD MEDICARE
CA
01
—
W13988
MEDICARE PTAN
CA
01
—
W13988A
MEDICARE PTAN
CA
Enumeration date
06/14/2005
Last updated
07/15/2021
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