Individual
CHARLES FREDERICK COCKERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R9052
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07973031
BLUE CROSS/BLUE SHIELD
—
01
—
1208133
UNITED HEALTH CARE
—
05
—
200110211
—
MO
01
—
202400
FAMILY HEALTH PARTNERS
—
01
—
202401
FAMILY HEALTH PARTNERS
—
01
—
312720
FIRST GUARD
—
01
—
4001376
AETNA
—
Enumeration date
07/07/2005
Last updated
08/27/2012
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