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Individual

JOHN BERT COTTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1401 E VAN BUREN AVE, MCALESTER, OK 74501-4245
(918) 426-0240
(918) 423-4051
Mailing address
PO BOX 908, MCALESTER, OK 74502-0908
(918) 426-0240
(918) 423-4051

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9350
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0166707
UMWA
OK
01
1324230001
PALMETTO DME
OK
01
730710406019
BC/BS
OK
01
731310891006
UNICARE
OK
01
731310891028
TRICARE SOUTH
OK
01
74502A009
CHAMPUS (WPS)
OK
01
D34546
STERLING OPTION 1
OK
Enumeration date
04/14/2006
Last updated
04/11/2008
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