Organization
DR DONALD B COBB OD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD B COBB OD (PHYSICIAN OWNER)
(918) 336-5046
Entity
Organization
Contact information
Practice address
505 E 3RD ST, BARTLESVILLE, OK 74003-3943
(918) 336-5046
(918) 336-5819
Mailing address
505 E 3RD ST, BARTLESVILLE, OK 74003-3943
(918) 336-5046
(918) 336-5819
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
747
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100764780
—
OK
01
—
900522540
MEDICARE GROUP NUMBER
OK
Enumeration date
02/15/2007
Last updated
02/26/2008
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