Individual
GRACE COBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5210 E THOMPSON RD, INDIANAPOLIS, IN 46237-2085
(317) 782-7500
(317) 782-7515
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004518A
IN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/22/2024
Last updated
10/15/2024
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