Organization
COTTONWOOD FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG S CORSON MD (OWNER)
(918) 876-0495
Entity
Organization
Contact information
Practice address
615 SW JENNINGS AVE, BOX 2466, BARTLESVILLE, OK 74005-6602
(918) 876-0495
(918) 213-4949
Mailing address
PO BOX 2466, BARTLESVILLE, OK 74005-2466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25161
OK
Other
Enumeration date
12/17/2010
Last updated
07/31/2015
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