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NPI Code Detail

MEDICARE: JOHN COTHERN DO

MEDICARE: JOHN COTHERN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician0102205819VA

General Provider Information

NPI Number : 1295237006
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN COTHERN DO
Provider Business Mailing Address
First Line : 6816 BELMONT DR
Second Line :
City : SHAWNEE
State : KS
Zip : 66226-5301
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 712 MAURY AVE
Second Line :
City : NORFOLK
State : VA
Zip : 23517-1822
Country : US
Telephone Number : 913-231-5588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2018
Last Update Date : 09/11/2024

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Directions to “ JOHN COTHERN DO” Practice Location

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