Individual
DR. RICHARD P COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(406) 640-4933
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5452
(601) 815-3322
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
042-0014399
VT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
24699
MS
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
32997
MT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
45230
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
67287
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09954520
—
MS
05
—
62993301
—
HI
Enumeration date
01/12/2006
Last updated
08/19/2019
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