Individual provider · Type 1 NPI
A. Dale Cochran
Lodging Provider · St. Peters, MO
NPI number
1811133036
Active
Practice location
205 Goldeneye Ct
St. Peters, MO 63376-5034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lodging Provider Primary | 177F00000X | 6754-11125 (MO) |
Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
About NPI 1811133036
A. Dale Cochran's National Provider Identifier is 1811133036, issued on Dec 17, 2008. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in St. Peters, MO. The record was last updated on Dec 17, 2008.