Provider Demographics
NPI:1134361603
Name:COCHRANE, SHAWN WAYNE (MD, PHD)
Entity type:Individual
Prefix:
First Name:SHAWN
Middle Name:WAYNE
Last Name:COCHRANE
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9071
Mailing Address - Country:US
Mailing Address - Phone:970-624-2409
Mailing Address - Fax:
Practice Address - Street 1:11083 COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:FIRESTONE
Practice Address - State:CO
Practice Address - Zip Code:80504-5873
Practice Address - Country:US
Practice Address - Phone:303-833-8880
Practice Address - Fax:303-682-8007
Is Sole Proprietor?:No
Enumeration Date:2009-03-30
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0050738208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics