Individual
DR. GLENN COOPER COCKERHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3801 MIRANDA AVENUE, VA PALO ALTO, OPHTHALMOLOGY SECTION 112-B1, PALO ALTO, CA 94304
(650) 858-3908
(650) 496-2502
Mailing address
220 ROBIN RD, HILLSBOROUGH, CA 94010-6634
(650) 858-3908
(650) 496-2502
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C51248
CA
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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