Individual
DR. CLEMENT P COTTER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1216 1ST ST N, HWY 31, ALABASTER, AL 35007-8702
(205) 664-4630
(205) 664-4658
Mailing address
1216 1ST ST N, HWY 31, ALABASTER, AL 35007-8702
(205) 664-4630
(205) 664-4658
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00010998
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51535894
BCBS OF ALABAMA
AL
Enumeration date
08/25/2006
Last updated
07/09/2007
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