Individual
DR. CULLY ALTON COBB III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3939 J ST, SUITE 250, SACRAMENTO, CA 95819-3636
(916) 733-3401
(916) 733-3410
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G19193
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G191930
—
CA
Enumeration date
07/18/2006
Last updated
07/02/2015
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