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NPI Code Detail

MEDICARE: ZACHARY COCKRELL DO

MEDICARE: ZACHARY COCKRELL DO
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
1207P00000XEmergency Medicine Physician7629OK

General Provider Information

NPI Number : 1982283990
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY COCKRELL DO
Provider Business Mailing Address
First Line : 2948 E 78TH ST
Second Line :
City : TULSA
State : OK
Zip : 74136-8732
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14002 E 21ST ST STE 1130
Second Line :
City : TULSA
State : OK
Zip : 74134-1408
Country : US
Telephone Number : 918-439-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2021
Last Update Date : 10/20/2025

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Directions to “ ZACHARY COCKRELL DO” Practice Location

Language Start Address Practice Location
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