Individual
DR. GLENN A COCHRAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6701 AIRPORT BLVD, SUITE D-330, MOBILE, AL 36608-6705
(251) 607-9797
(251) 607-9761
Mailing address
6701 AIRPORT BLVD, SUITE D-330, MOBILE, AL 36608-6705
(251) 607-9797
(251) 607-9761
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
00026518
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08100515
—
MS
01
—
510-01217
BLUE CROSS BLUE SHIELD
AL
Enumeration date
06/07/2006
Last updated
07/08/2007
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