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NPI Code Detail

MEDICARE: ELIZABETH W COTTER M.D.

MEDICARE: ELIZABETH W COTTER M.D.
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
12085R0202XDiagnostic Radiology PhysicianMD00046064WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902890700
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH W COTTER M.D.
Provider Business Mailing Address
First Line : 19020 33RD AVE W
Second Line : SUITE 210
City : LYNNWOOD
State : WA
Zip : 98036-4746
Country : US
Telephone Number : 425-563-1500
Fax Number : 425-563-1374
Provider Business Practice Location Address
First Line : 19020 33RD AVE W
Second Line : SUITE 210
City : LYNNWOOD
State : WA
Zip : 98036-4746
Country : US
Telephone Number : 425-563-1500
Fax Number : 425-563-1374
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 02/04/2015

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Directions to “ ELIZABETH W COTTER M.D.” Practice Location

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