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NPI Code Detail

MEDICARE: DR. MATTHEW L COBB MD

MEDICARE:  DR. MATTHEW L COBB  MD
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
1207Q00000XFamily Medicine Physician2023005686MO

General Provider Information

NPI Number : 1497866099
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW L COBB MD
Provider Business Mailing Address
First Line : PO BOX 802843
Second Line :
City : KANSAS CITY
State : MO
Zip : 64180-2843
Country : US
Telephone Number : 417-730-6430
Fax Number : 417-269-7567
Provider Business Practice Location Address
First Line : 18452 BUSINESS 13
Second Line :
City : BRANSON WEST
State : MO
Zip : 65737-9609
Country : US
Telephone Number : 417-292-8911
Fax Number : 417-272-3900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 08/18/2023

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Directions to “ DR. MATTHEW L COBB MD” Practice Location

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