Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 19964 | CO |
NPI | 1154447787 |
---|---|
Provider Name | Dr. John H Cochran Jr |
First Address | Denver, CO 80247-1314 |
Second Address | Denver, CO 80247-1314 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2007 |
Last Update Date | 23/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001405 | KAISER-COMMERCIAL NUMBER (01) |