Organization
WM MICHAEL COCHRAN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH COCHRAN (RN, OFFICE MANAGER)
(520) 989-3521
Entity
Organization
Contact information
Practice address
140 W DUVAL MINE RD, SUITE 106, GREEN VALLEY, AZ 85614-5000
(520) 989-3521
(520) 989-3522
Mailing address
4050 N CIRCULO MANZANILLO, TUCSON, AZ 85750-1879
(520) 989-3521
(520) 989-3522
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
AZ15469
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467404319
TYPE I NPI
—
01
—
AZ15469
STATE LICENSE NUMBER
AZ
01
—
Z106726
MEDICARE INDIVIDUAL PIN
—
Enumeration date
02/25/2008
Last updated
04/26/2012
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