Individual
TRAVIS COTTAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1908 WELLSPRING AVE SE STE 100, RIO RANCHO, NM 87124-4792
(505) 597-2022
Mailing address
1908 WELLSPRING AVE SE STE 100, RIO RANCHO, NM 87124-4792
(505) 597-2022
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
07/12/2025
Last updated
07/12/2025
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