Individual
DR. CHARLES MCCANN COCHRAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 SOUTH DR, INDIANAPOLIS, IN 46202-5135
(317) 274-8282
Mailing address
6390 ROCKSTONE CT, INDIANAPOLIS, IN 46268-4059
(812) 585-0150
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01075771A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2013
Last updated
05/04/2017
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