NPI 1811133036

A. Dale Cochran

Practitioner Lodging Provider Saint Peters, MO

Practice location

Address: 205 Goldeneye CT, Saint Peters, MO 63376-5034
Phone: (636) 387-0081

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X Licence 6754-11125 (MO)

Other Lodging providers in Missouri →

Registry record

NPI: 1811133036
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Dec 2008
Record last updated: 17 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.