Individual
DR. MARY COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1108 PORT ARTHUR TER, LEESVILLE, LA 71446-4600
(337) 239-1061
Mailing address
1108 PORT ARTHUR TER, LEESVILLE, LA 71446-4600
(337) 239-1061
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016005825
IL
213E00000X
Podiatrist
Primary
333207
LA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/05/2016
Last updated
12/02/2022
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