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Individual

MATTHEW A. COCKING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
2222 E HIGHLAND AVE, STE 300, PHOENIX, AZ 85016-4872
(602) 277-6211
(866) 846-8709
Mailing address
2222 E HIGHLAND AVE, STE 300, PHOENIX, AZ 85016-4872
(602) 277-6211
(866) 846-8709

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2567
AZ
363A00000X
Physician Assistant
2567
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
632564
AZ
Enumeration date
05/09/2006
Last updated
06/25/2008
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