Individual
DR. ALVIN MARTIN COTLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 FISHER STREET, KEESLER AIR FORCE BASE, MS 39534-2519
(228) 376-3083
(228) 377-8066
Mailing address
924 SAVANNAH PLACE, GULFPORT, MS 39507
(228) 896-8720
(228) 377-8066
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
14642
MS
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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