Organization
S M COBB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN M COBB PHD (OWNER)
(575) 622-6437
Entity
Organization
Contact information
Practice address
400 N PENNSYLVANIA AVE STE 990, ROSWELL, NM 88201-4754
(575) 622-6437
Mailing address
400 N PENNSYLVANIA AVE STE 990, ROSWELL, NM 88201-4754
(575) 622-6437
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
0005
NM
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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