Individual
WILLIAM MICHAEL COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 W DUVAL MINE RD, SUITE 106, GREEN VALLEY, AZ 85614-5000
(520) 989-3521
(520) 989-3522
Mailing address
4050 N CIRCULO MANZANILLO, TUCSON, AZ 85750-1879
(520) 989-3521
(520) 989-3522
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15469
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003085937
TYPE 2, GROUP NPI
—
01
—
15469
STATE MEDICAL LICENSE
AZ
01
—
Z106543
GRP PIN-BILLING PROVIDER#
AZ
Enumeration date
05/17/2006
Last updated
04/26/2012
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