Individual
ANDREW J. COTTINGHAM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Mailing address
22621 NORRIS PEAK RD, RAPID CITY, SD 57702-7782
(605) 348-4636
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
K0010
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
K0010
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
K0010
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050090073
RAILROAD
TX
05
—
106190503
—
TX
05
—
106190505
—
TX
01
—
8G2123
BCBS
TX
Enumeration date
12/22/2005
Last updated
10/26/2020
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