Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 35037907C | OH |
NPI | 1265429237 |
---|---|
Provider Name | Dr. Steven L Cochran |
First Address | Akron, OH 44333-1538 |
Second Address | Akron, OH 44333-1538 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2005 |
Last Update Date | 15/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000029166 | ANTHEM (01) | OH |
0731042 | (05) | OH |
417 | SUMMA (01) | OH |
C01299 | (02) | OH |