Individual
ERIC L COTTRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10505 E 91ST ST, SUITE 200, TULSA, OK 74133-5801
(918) 307-3144
(918) 307-3145
Mailing address
PO BOX 700930, TULSA, OK 74170-0930
(918) 307-3144
(918) 307-3145
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
13194
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100221630A
—
OK
Enumeration date
10/03/2005
Last updated
01/05/2010
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