Healthcare Provider Details

I. General information

NPI: 1528068566
Provider Name (Legal Business Name): WILLIAM HERBERT COTTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 01/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CHILDRENS DR
COLUMBUS OH
43205-2664
US

IV. Provider business mailing address

700 CHILDRENS DR
COLUMBUS OH
43205-2664
US

V. Phone/Fax

Practice location:
  • Phone: 614-722-4950
  • Fax: 614-722-4966
Mailing address:
  • Phone: 614-722-4950
  • Fax: 614-722-4966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35050387
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: