Individual
MATTHEW I. K. COCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
921 W OWENS AVE STE 150, LAS VEGAS, NV 89106-5405
(725) 269-3364
(725) 269-3366
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28453
AZ
207QA0505X
Adult Medicine Physician
MD189897
OR
Other
Enumeration date
03/01/2006
Last updated
08/07/2024
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