Individual
RYAN COCHRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75TH MEDICAL GROUP, 7321 BALMER STREET BUILDING 570, HILL AFB, UT 84056
(801) 777-7909
Mailing address
75TH MEDICAL GROUP, 7321 BALMER STREET BUILDING 570, HILL AFB, UT 84056
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
317986-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
317986-4405
UT
Other
Enumeration date
06/13/2017
Last updated
02/07/2025
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