David Lloyd Cobb II, B.A.

Individual provider Active NPI Case Manager/Care Coordinator · La Junta, CO

NPI 1659401552 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1659401552
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
711 Barnes Ave
La Junta, CO 81050-2138
Phone
(719) 384-5446
Fax
(719) 384-5672
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

711 Barnes Ave
La Junta, CO 81050-2138

Mailing address

24680 County Road 25
La Junta, CO 81050-9605
Phone (719) 384-0842

Other providers in La Junta, CO

All providers in La Junta, CO · Case Manager/Care Coordinator in Colorado

Sources for this page

Verify at the official NPI Registry.