| NPI | 1669867099 |
|---|---|
| Professional Name | JOHN A COCKERELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-11342) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2019-02-07 |