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NPI Code Detail

MEDICARE: DR. JAMES RICHARD COCHRAN MD

MEDICARE: DR. JAMES RICHARD COCHRAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician0101044135VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
122117OTHERVAOPTIMA HEALTH
2054578OTHERVAANTHEM BC BS

General Provider Information

NPI Number : 1568472868
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES RICHARD COCHRAN MD
Provider Business Mailing Address
First Line : 3300 HIGH ST
Second Line : SUITE 6
City : PORTSMOUTH
State : VA
Zip : 23707-3321
Country : US
Telephone Number : 757-399-4341
Fax Number : 757-393-0743
Provider Business Practice Location Address
First Line : 3300 HIGH ST
Second Line : SUITE 6
City : PORTSMOUTH
State : VA
Zip : 23707-3321
Country : US
Telephone Number : 757-399-4341
Fax Number : 757-393-0743
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 07/08/2007

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