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Individual

DANIEL W COTTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(865) 977-5567
(865) 980-4962
Mailing address
PO BOX 1445, INDIANAPOLIS, IN 46206-1445
(866) 388-2916
(855) 388-4124

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
19949
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
300125492
RR MEDICARE
TN
05
3074299
TN
01
40222337
BC/BS OF TN
TN
05
64720824
KY
Enumeration date
03/27/2006
Last updated
02/02/2017
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