Individual
BRADLEY KEVIN COOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W BROADWAY ST FL 4, MISSOULA, MT 59802-4008
(406) 329-5866
(406) 329-5864
Mailing address
PO BOX 31001-4110, PASADENA, CA 91110-4110
(406) 327-3199
(406) 327-3332
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
9162
SD
208200000X
Plastic Surgery Physician
Primary
MED-PHYS-LIC-76243
MT
2086S0122X
Plastic and Reconstructive Surgery Physician
27081
NE
2086S0122X
Plastic and Reconstructive Surgery Physician
39703
IA
Other
Enumeration date
08/25/2006
Last updated
05/06/2025
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