Individual
BRITTANIA COGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-2073
(760) 924-4084
Mailing address
PO BOX 660, MAMMOTH LAKES, CA 93546-0660
(760) 924-4084
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9492368-1206
UT
363A00000X
Physician Assistant
Primary
PA53647
CA
Other
Enumeration date
08/19/2015
Last updated
01/13/2021
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