Individual
BRIAN GREGORY COTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 MACK RD STE 100, FAIRFIELD, OH 45014-5335
(513) 751-4222
(513) 874-3023
Mailing address
3000 MACK RD STE 100, FAIRFIELD, OH 45014-5335
(513) 751-4222
(513) 874-3023
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01082027A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
35.147553
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2016
Last updated
08/07/2023
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