Individual
DR. CHAD ANDREW COCHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
250 DEBARTOLO PL, YOUNGSTOWN, OH 44512-7004
(330) 965-5070
Mailing address
7629 MARKET ST STE 200, YOUNGSTOWN, OH 44512-6082
(330) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0000000000
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
34.013887
OH
390200000X
Student in an Organized Health Care Education/Training Program
34.013887
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0455446
—
OH
Enumeration date
03/22/2017
Last updated
09/01/2021
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