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Individual

RENEE COBOS

Active
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Individual

RENEE COBOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G64293
CA
207ND0101X
MOHS-Micrographic Surgery Physician
G64293
CA
207ND0900X
Dermatopathology Physician
G64293
CA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
G64293
CA
207NP0225X
Pediatric Dermatology Physician
G64293
CA
207NS0135X
Procedural Dermatology Physician
G64293
CA

Other

Enumeration date
07/29/2005
Last updated
10/13/2017
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