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Individual

LOUIS WILLIAM COTTERELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00025332
WA
207RN0300X
Nephrology Physician
Primary
MD00025332
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0158802
LABOR & IND.
WA
01
110238251
RR MEDICARE
05
286784
OR
05
8125916
WA
01
8936701
CRIME VICTIMS
WA
Enumeration date
07/07/2005
Last updated
07/30/2012
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