Individual
JOHN COTHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
712 MAURY AVE, NORFOLK, VA 23517-1822
(913) 231-5588
Mailing address
6816 BELMONT DR, SHAWNEE, KS 66226-5301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102205819
VA
Other
Enumeration date
03/07/2018
Last updated
09/11/2024
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