Individual
DR. STEVEN N. COCKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6500 HOSPITAL DR, HANNIBAL, MO 63401-6890
(573) 629-3532
(573) 629-3514
Mailing address
6500 HOSPITAL DR, P.O. BOX 1239, HANNIBAL, MO 63401-6890
(573) 629-3532
(573) 629-3514
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
R3M83
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202969804
—
MO
Enumeration date
01/11/2006
Last updated
10/11/2023
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