Individual
STEPHEN W COTLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2635 N 7TH ST, GRAND JUNCTION, CO 81501-1628
(970) 298-6307
(970) 298-7037
Mailing address
PO BOX 62, GRAND JUNCTION, CO 81502-0062
(970) 298-6307
(970) 298-7037
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
43223
CO
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
43223
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07671059
—
CO
Enumeration date
12/21/2005
Last updated
12/19/2013
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