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Individual

MR. STEPHEN MICHAEL COTTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
536 COTTONWOOD RD., SUITE 100, BOZEMAN, MT 59718
(406) 586-8029
(406) 586-8009
Mailing address
536 COTTONWOOD RD., SUITE 100, BOZEMAN, MT 59718
(406) 586-8029
(406) 586-8009

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002776
GA
363AM0700X
Medical Physician Assistant
002776
GA
363AS0400X
Surgical Physician Assistant
002776
GA
363AS0400X
Surgical Physician Assistant
Primary
218
MT

Other

Enumeration date
07/17/2008
Last updated
10/27/2011
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