Organization Name: | WM MICHAEL COCHRAN MD PLLC |
NPI Number: | 1003085937 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETH COCHRAN (RN, OFFICE MANAGER) |
Mailing Address: | 140 W Duval Mine Rd Suite 106 Green Valley |
State: | AZ US |
Postal Code: | 856145000 |
Phone Number: | 5209893521 |
Fax Number: | 5209893522 |
NPI Enumeration Date: | 02/25/2008 |
NPI Last Update Date: | 04/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | AZ15469 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |