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Individual

MELVIN L COCHRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-4550
Mailing address
1000 E PRIMROSE ST STE 520, SPRINGFIELD, MO 65807-5180
(417) 269-4550

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2011016139
MO
207L00000X
Anesthesiology Physician
Primary
E-1162
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133552001
AR
Enumeration date
11/01/2006
Last updated
05/16/2012
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