Individual
CALEB P COCKRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 S WOODS MILL RD, CHESTERFIELD, MO 63017-3429
(314) 485-1101
Mailing address
400 S WOODS MILL RD, CHESTERFIELD, MO 63017-3429
(314) 485-1101
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2023022519
MO
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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