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NPI Code Detail

MEDICARE: SCOTT COTTEEN PA-C

MEDICARE: SCOTT COTTEEN PA-C
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
1363A00000XPhysician AssistantPA53165CA

General Provider Information

NPI Number : 1598125890
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT COTTEEN PA-C
Provider Business Mailing Address
First Line : 30310 REGENT ST UNIT 104
Second Line :
City : CATHEDRAL CITY
State : CA
Zip : 92234-5879
Country : US
Telephone Number : 760-900-9100
Fax Number :
Provider Business Practice Location Address
First Line : 66675 PIERSON BLVD
Second Line :
City : DESERT HOT SPRINGS
State : CA
Zip : 92240-3737
Country : US
Telephone Number : 760-676-5240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/29/2016
Last Update Date : 12/23/2020

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Directions to “ SCOTT COTTEEN PA-C” Practice Location

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