Provider Demographics
NPI:1467461624
Name:COBB, PEGGY RUTH (CNM)
Entity Type:Individual
Prefix:
First Name:PEGGY
Middle Name:RUTH
Last Name:COBB
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6441 W 81ST ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74131-3432
Mailing Address - Country:US
Mailing Address - Phone:918-224-1605
Mailing Address - Fax:918-224-1605
Practice Address - Street 1:6441 W 81ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74131-3432
Practice Address - Country:US
Practice Address - Phone:918-224-1605
Practice Address - Fax:918-224-1605
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife