# ADAM COTTLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023397700
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA1291 | NV | Yes |

## Other

- **Enumeration date:** 08/11/2011
- **Last updated:** 08/03/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1023397700 | — | NV |
| 01 | — | PA1291 | NV PA LICENSE | NV |