Individual
CASEY L COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1900 W WILLOW RD, ENID, OK 73703-2441
(580) 249-3782
(580) 599-6446
Mailing address
367 S GULPH RD, ATN :IPM CREDENTIALING, KING OF PRUSSIA, PA 19406-3121
(484) 913-7467
(610) 878-3965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5541
OK
Other
Enumeration date
05/07/2013
Last updated
01/25/2021
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