Individual
DR. PHILIP D. COTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, FACMG
Contact information
Practice address
5 MASON LANE, SUITE 100, IRVINE, CA 92618-2552
(949) 812-6902
(949) 297-3983
Mailing address
5 MASON LANE, SUITE 100, IRVINE, CA 92618-2552
(949) 812-7363
Taxonomy
Speciality
Code
Description
License number
State
207SC0300X
Clinical Cytogenetics Physician
Primary
DRM00000001
CA
207SC0300X
Clinical Cytogenetics Physician
DRM1
CA
207SG0203X
Clinical Molecular Genetics Physician
DRM00000001
CA
207SG0203X
Clinical Molecular Genetics Physician
DRN1
CA
Other
Enumeration date
01/04/2006
Last updated
07/11/2014
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