Organization
COBB PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW D. COBB CP (OWNER/CERTIFIED PROSTHETIST)
(573) 760-0520
Entity
Organization
Contact information
Practice address
833 WEBER RD., FARMINGTON, MO 63640
(573) 760-0520
(573) 760-0530
Mailing address
833 WEBER RD., FARMINGTON, MO 63640
(573) 760-0520
(573) 760-0530
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CP2633
MO
Other
Enumeration date
09/22/2006
Last updated
12/14/2007
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