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Organization
DR TAMARA COTTAM
Active
Organization
DR TAMARA COTTAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMRA O COTTAM MD PC (DOCTOR)
(307) 638-0300
Entity
Organization
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 634-2273
Mailing address
PO BOX 2417, CHEYENNE, WY 82003-2417
(307) 638-0300
(307) 638-0394
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5711A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
313170
BLUE CROSS BLUE SHIELD
WY
Enumeration date
06/01/2006
Last updated
08/22/2020
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