Individual
ADAM COTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1799 MOUNT MARIAH DRIVE, LAS VEGAS, NV 89106-1501
(702) 383-1961
(702) 319-6147
Mailing address
3325 RESEARCH WAY, CARSON CITY, NV 89706-7913
(775) 888-6610
(775) 888-4904
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1291
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023397700
—
NV
01
—
PA1291
NV PA LICENSE
NV
Enumeration date
08/11/2011
Last updated
08/03/2012
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