Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0100X | Gastroenterologist | 2011016836 | MO |
Y | 207RG0100X | Gastroenterologist | 32329 | MT |
NPI | 1023281441 |
---|---|
Provider Name | William J. Cobell |
First Address | Kalispell, MT 59901-3129 |
Second Address | Kalispell, MT 59901-3129 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2008 |
Last Update Date | 31/07/2020 |