Individual
ROBERT W COCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
(804) 828-9783
Mailing address
PO BOX 980257, RICHMOND, VA 23298-0257
(804) 828-9783
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101241389
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093926511
—
VA
Enumeration date
05/25/2007
Last updated
04/11/2011
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