Organization
COBB PROSTHETICS LLC
Active
Parent organization
COBB PROSTHETICS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COBB PROSTHETICS LLC
Authorized official
MATTHEW COBB CP (OWNER/CERTIFIED PROSTHETIST)
(573) 760-0520
Entity
Organization
Contact information
Practice address
11229 CONCORD VILLAGE AVE, SAINT LOUIS, MO 63123-6903
(314) 849-5462
(314) 849-1377
Mailing address
11229 CONCORD VILLAGE AVE, SAINT LOUIS, MO 63123-6903
(314) 849-5462
(314) 849-1377
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CP2633
MO
Other
Enumeration date
05/28/2009
Last updated
09/17/2009
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