Individual
DR. DANIEL RHEAD COTTAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1046 E 100 S, SALT LAKE CITY, UT 84102-1520
(801) 746-2885
(801) 746-2886
Mailing address
1046 E 100 SOUTH, SALT LAKE CITY, UT 84102
(801) 746-2885
(702) 384-8446
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
10997
NV
208600000X
Surgery Physician
Primary
6655906-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503622
—
NV
01
—
10997
MD#
NV
05
—
1760574776
—
UT
Enumeration date
09/28/2006
Last updated
01/10/2022
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