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Dr. Mark G. Coble, OD

Optometrist in Kansas City, KS. Individual provider (NPI-1).

NPI number1053307702
StatusActive
Last updated in NPPESAug 17, 2016

Details

NPI
1053307702
Entity type
Individual (NPI-1)
Name
Dr. Mark G. Coble
Credential
OD
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 27, 2005
Last updated
Aug 17, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist1098-3KSYes

Practice location

9501 State Ave
Suite 2
Kansas City, KS 66111-1872

Phone 913-299-7200 · Fax 913-334-4551

Mailing address

9501 State Ave
Ste 2
Kansas City, KS 66111-1871

Phone 913-299-7200 · Fax 913-334-4451

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