| Cottonwood Family Practice Pllc | |
|
615 Sw Jennings Ave Box 2466 Bartlesville OK 74005-6602 | |
| (918) 876-0495 | |
| (918) 213-4949 |
| Full Name | Cottonwood Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 615 Sw Jennings Ave, Bartlesville, Oklahoma |
| Authorized Official Name and Position | Craig S Corson (OWNER) |
| Authorized Official Contact | 9188760495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cottonwood Family Practice Pllc Po Box 2466 Bartlesville OK 74005-2466 Ph: () - | Cottonwood Family Practice Pllc 615 Sw Jennings Ave Box 2466 Bartlesville OK 74005-6602 Ph: (918) 876-0495 |
| NPI Number | 1801199658 |
|---|---|
| Provider Enumeration Date | 12/17/2010 |
| Last Update Date | 07/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801199658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25161 (Oklahoma) | Primary |
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