Individual
DR. BRAD ALAN COCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
20389 RAE RD, BEND, OR 97702-2774
(541) 280-0777
Mailing address
20389 RAE RD, BEND, OR 97702-2774
(541) 280-0777
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
273390
OR
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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