Individual
DR. MARK JACK COTLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1623 LANCASTER CT, INDIANAPOLIS, IN 46260-1617
(317) 876-7903
(317) 334-9413
Mailing address
1623 LANCASTER CT, INDIANAPOLIS, IN 46260-1617
(317) 876-7903
(317) 334-9413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01038105
IN
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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