Individual
DR. JEFF COTTINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5055 W RAY RD, SUITE 21, CHANDLER, AZ 85226-6108
(480) 940-4880
(480) 940-4809
Mailing address
5055 W RAY RD, SUITE 21, CHANDLER, AZ 85226-6108
(480) 940-4880
(480) 940-4809
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5530/3186
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0930200
BCBS ARIZONA
AZ
01
—
860945080
TAX ID #
AZ
Enumeration date
06/10/2006
Last updated
11/16/2007
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