Individual
BLAKE AUSTIN COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9246
Mailing address
4425 SKYLINE RIDGE RD, GARDENDALE, AL 35071-2996
(601) 479-9481
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-152244
AL
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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