Individual
DR. SAMUEL BENJAMIN COTHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
(301) 295-4000
Mailing address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
(301) 295-4000
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
010220889
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2023
Last updated
09/13/2024
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