| Ed Cotgageorge Pc | |
|
1 Mercado Suite 265 Durango CO 81301 | |
| (970) 259-4770 | |
| (970) 247-8502 |
| Full Name | Ed Cotgageorge Pc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1 Mercado Suite 265, Durango, Colorado |
| Authorized Official Name and Position | Ed Cotgageorge (OWNER) |
| Authorized Official Contact | 9702594770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ed Cotgageorge Pc #1 Mercado Suite 265 Durango CO 81301 Ph: (970) 259-4770 | Ed Cotgageorge Pc 1 Mercado Suite 265 Durango CO 81301 Ph: (970) 259-4770 |
| NPI Number | 1952439325 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952439325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 1831 (Colorado) | Primary |
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