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Individual

JEFFREY COTTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3730 N RIDGE RD, WICHITA, KS 67205-1227
(316) 462-6200
Mailing address
3730 N RIDGE RD, STE 100, WICHITA, KS 67205-1228
(316) 462-6200
(316) 462-6201

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-46258
KS
207Q00000X
Family Medicine Physician
R-11701
IA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/15/2014
Last updated
07/18/2022
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