Individual
MR. RONALD LAVERN COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
23500 US HIGHWAY 160, WALSENBURG, CO 81089-9524
(719) 738-5100
Mailing address
6569 S CLAYTON ST, CENTENNIAL, CO 80121-2923
(720) 314-0267
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
34361
CO
367500000X
Certified Registered Nurse Anesthetist
CS00213837
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07343619
—
CO
Enumeration date
07/04/2006
Last updated
09/16/2016
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