Individual
GLEN DAVID COTTRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1324 N HARVILLE RD, DUNCAN, OK 73533-1514
(580) 252-1373
(580) 252-8336
Mailing address
2210 DUNCAN REGIONAL LOOP, DUNCAN, OK 73533-1564
(580) 252-1373
(580) 252-8336
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1130
OK
Other
Enumeration date
10/18/2006
Last updated
10/09/2012
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