Individual
DR. ALDEN G COCKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1399 WEIMER ROAD, # 600B, TAOS, NM 87571-6351
(505) 751-0334
(505) 751-0297
Mailing address
1399 WEIMER ROAD, # 600B, TAOS, NM 87571-6351
(505) 751-0334
(505) 751-0297
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD2004-0101
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM009M74
BLUE CROSS BLUE SHIELD
NM
05
—
29805325
—
NM
01
—
MD2004-0101
MEDICAL LIC #
NM
Enumeration date
09/19/2006
Last updated
03/07/2023
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