BRADLEY COBB
Family Medicine
Active
Individual
NPI: 1356907570
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Family Medicine | 207Q00000X | Yes | 125.078853 (IL) |
Frequently Asked Questions
NPI 1356907570 is the National Provider Identifier for BRADLEY COBB, a Family Medicine provider located in Peoria, IL. This NPI was enumerated on May 13, 2019.
BRADLEY COBB practices at 815 MAIN ST STE C, Peoria, IL 61602.
Quick Facts
- NPI
- 1356907570
- Type
- Individual
- Enumerated
- May 13, 2019
- Last Updated
- Jul 26, 2021
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