Individual
DR. GLEN COCHRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3835 S JONES BLVD STE 104, LAS VEGAS, NV 89103-2283
(702) 880-4193
(702) 880-4197
Mailing address
4616 W SAHARA AVE # 337, LAS VEGAS, NV 89102-3654
(702) 880-4193
(702) 880-4197
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B00804
NV
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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