NPI 1104119106 · live from the CMS NPI Registry
Andrew Leon Cobabe, AU.D.
Audiologist in Logan, UT. National Provider Identifier 1104119106, active.
NPI record
| NPI | 1104119106 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 1350 N 500 E, Logan, UT 84341 |
| Practice phone | 435-792-1950 |
| Mailing address | Po Box 27128, Salt Lake City, UT 84127 |
| Enumerated | May 24, 2011 |
| Last updated | May 24, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 7921202-4103 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.