Individual
DR. CAROLYN LOUISE COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 S PEORIA AVE, TULSA, OK 74120-3820
(918) 588-1900
(918) 582-6405
Mailing address
1110 E 38TH ST, TULSA, OK 74105-3114
(918) 747-5188
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
12692
OK
207R00000X
Internal Medicine Physician
Primary
12692
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100257340-B
—
OK
Enumeration date
06/20/2006
Last updated
01/04/2017
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