Organization
ED COTGAGEORGE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ED COTGAGEORGE PH.D. (OWNER)
(970) 259-4770
Entity
Organization
Contact information
Practice address
1 MERCADO SUITE 265, DURANGO, CO 81301
(970) 259-4770
(970) 247-8502
Mailing address
#1 MERCADO SUITE 265, DURANGO, CO 81301
(970) 259-4770
(970) 247-8502
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1831
CO
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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