Individual
DR. ROBERT BRUCE COCHRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1611 FIRST AVE NORTH, FORT DODGE, IA 50501
(515) 576-8151
(515) 576-5670
Mailing address
1611 FIRST AVE NORTH, FORT DODGE, IA 50501
(515) 576-8151
(515) 576-5670
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6251
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143495
—
IA
Enumeration date
11/03/2006
Last updated
07/08/2007
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