Organization
GLEN S COCHRANE
Active
Other names
EAST DESERT INN WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN S COCHRANE DC (OWNER)
(702) 333-1995
Entity
Organization
Contact information
Practice address
1090 EAST DESERT ROAD, S 102, LAS VEGAS, NV 89109
(702) 333-1995
(702) 333-0602
Mailing address
1090 EAST DESERT ROAD, S 102, LAS VEGAS, NV 89109
(702) 333-1995
(702) 333-0602
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NI0013X
Independent Medical Examiner Chiropractor
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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