Stephen Michael Cottle, PA-C
Physician Assistant, Surgical in Bozeman, MT. Individual provider (NPI-1).
NPI number1093979155
StatusActive
Last updated in NPPESOct 27, 2011
Details
- NPI
- 1093979155
- Entity type
- Individual (NPI-1)
- Name
- Mr. Stephen Michael Cottle
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2008
- Last updated
- Oct 27, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 218 | MT | Yes |
| 363A00000X | Physician Assistant | 002776 | GA | |
| 363AM0700X | Physician Assistant, Medical | 002776 | GA | |
| 363AS0400X | Physician Assistant, Surgical | 002776 | GA |
Practice location
536 Cottonwood Rd.Suite 100
Bozeman, MT 59718
Phone 406-586-8029 · Fax 406-586-8009
Mailing address
536 Cottonwood Rd.Suite 100
Bozeman, MT 59718
Phone 406-586-8029 · Fax 406-586-8009
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