Search › Missouri › 207RG0100X
Courtney Cockerell, D.O
NPI 1346504644 · on the registry since 2012
Practice
- Address
- 1011 Bowles Ave Ste 425
Fenton, MO 63026 - Phone
- (636) 496-5030
- Organisation at this address
- Ssm Medical Group
Loup Dialysis Llc
Ssm Medical Group
Ssm Medical Group Inc.
Faris Al-Gebory Md LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 67
Additional practice sites
- 1402 S Grand Blvd, Saint Louis, MO
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 390200000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri