Most Relevant Information
Provider Data
| NPI Number: | 1003405499 |
| Provider Name: | SHANNA M COCHRAN |
| Entity Type: | Individual |
| Taxonomy Code: | 1744P3200X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/11/2021 |
| Last Updated: | 01/09/2024 |
Provider Practice Location
704 BRADDOCK AVE
BRADDOCK
PA
151041812
Practice Location Phone/Fax
| Phone: | 4127277689 |
| Fax: |
Provider Mailing Location
124 LANFORD DR
PITTSBURGH
PA
152351856
Provider Mailing Phone/Fax
| Phone: | 4127277689 |
| Fax: |