Individual
MARK COCKERILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 KINGSLEY LN, NORFOLK, VA 23505-4602
(757) 889-5422
(757) 889-5450
Mailing address
110 KINGSLEY LN STE 305, NORFOLK, VA 23505-4617
(757) 889-5422
(757) 889-5450
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101055902
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
0101055902
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7240520
—
VA
Enumeration date
03/16/2006
Last updated
02/11/2020
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