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Individual

DR. MAXWELL TRYGVE COTTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
2511 N ORCHARD DR, BURBANK, CA 91504-2210
(818) 843-2415
(818) 566-4345
Mailing address
2511 N ORCHARD DR, BURBANK, CA 91504-2210
(818) 843-2415
(818) 566-4345

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA2094
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HA0024280
CA
Enumeration date
08/17/2006
Last updated
07/09/2007
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