| Jill S Cottell M D A Professional Corporation | |
|
15644 Pomerado Rd Suite 400 Poway CA 92064-2400 | |
| (858) 312-1672 | |
| (858) 912-6421 |
| Full Name | Jill S Cottell M D A Professional Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 15644 Pomerado Rd, Poway, California |
| Authorized Official Name and Position | Jill Cottel (OWNER/PROVIDER) |
| Authorized Official Contact | 8583121672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jill S Cottell M D A Professional Corporation 15644 Pomerado Rd Ste 400 Poway CA 92064-2400 Ph: (858) 312-1672 | Jill S Cottell M D A Professional Corporation 15644 Pomerado Rd Suite 400 Poway CA 92064-2400 Ph: (858) 312-1672 |
| NPI Number | 1588844385 |
|---|---|
| Provider Enumeration Date | 11/08/2007 |
| Last Update Date | 12/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588844385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A65247 (California) | Primary |
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