Provider Demographics
NPI:1225296825
Name:COCKFIELD, WILLIAM EDWARD (MPAC)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:EDWARD
Last Name:COCKFIELD
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Gender:M
Credentials:MPAC
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Mailing Address - Street 1:2301 ERWIN RD RM 7451H
Mailing Address - Street 2:DUMC 3174
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-3174
Mailing Address - Country:US
Mailing Address - Phone:919-681-5816
Mailing Address - Fax:919-684-8493
Practice Address - Street 1:2301 ERWIN RD RM 7451H
Practice Address - Street 2:DUMC 3174
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-3174
Practice Address - Country:US
Practice Address - Phone:919-681-5816
Practice Address - Fax:919-684-8493
Is Sole Proprietor?:No
Enumeration Date:2008-05-30
Last Update Date:2012-12-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-01303363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0010-01303OtherPA-C LICENSE
NC0010-01303OtherPA-C LICENSE