Individual
TRAVIS EUGENE COCKERHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7821 ISLAND DR, ANCHORAGE, AK 99504-2728
(907) 227-7081
Mailing address
PO BOX 110554, ANCHORAGE, AK 99511-0554
(907) 227-7081
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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