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NPI Code Detail

MEDICARE: KATIE JEAN COBB PA-C

MEDICARE:   KATIE JEAN COBB  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0011XInterventional Cardiology Physician59801CA
22086S0129XVascular Surgery Physician59801CA
3363A00000XPhysician Assistant59801CA

General Provider Information

NPI Number : 1184213340
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE JEAN COBB PA-C
Provider Business Mailing Address
First Line : 941 RICARDO DR
Second Line :
City : AROMAS
State : CA
Zip : 95004-9699
Country : US
Telephone Number : 661-600-7384
Fax Number :
Provider Business Practice Location Address
First Line : 2 LOWER RAGSDALE DR STE 160
Second Line :
City : MONTEREY
State : CA
Zip : 93940-5840
Country : US
Telephone Number : 661-600-7384
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2021
Last Update Date : 07/19/2023

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Directions to “ KATIE JEAN COBB PA-C” Practice Location

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