Organization
R BRUCE COCHRANE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN M HOOVER RDA (OFFICE MANAGER)
(515) 576-8151
Entity
Organization
Contact information
Practice address
1611 1ST AVE N, FORT DODGE, IA 50501-4253
(515) 576-8151
(515) 576-5670
Mailing address
1611 1ST AVE N, FORT DODGE, IA 50501-4253
(515) 576-8151
(515) 576-5670
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6251
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143495
—
IA
05
—
1143495
—
IA
05
—
2143495
—
IA
Enumeration date
02/02/2007
Last updated
04/30/2008
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