DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN ERNEST COTTLE JR., D.O.

Active Sole Proprietor

JOHN ERNEST COTTLE JR., D.O. is a Family Medicine healthcare provider located in FORT BRAGG, California. NPI 1447343116 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · FORT BRAGG, CA

Registration Details

NPI Number
1447343116
Provider Type
Individual
Gender
Male
NPI Issued
Oct 2, 2006 (19.685311434714 yrs)
Last Updated
Oct 19, 2012
Licenses
34047 (CO)
20A10161 (CA)
Sole Proprietor
Yes

Practice Information

Address
721 RIVER DR
SUITE A
FORT BRAGG, CA, 95437
Browse CA providers · Browse ZIP 95437
Phone
7079614631
Fax
7079641192
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in FORT BRAGG, CA

Name Credential NPI
MR. WADE JOSEPH GRAY MD 1508861782
DR. JENNIFER BETH KREGER MD 1922005586
MUAJ LO MD 1487644985
JOHN GALLO MD 1225049257
DIANE I. HARRIS MD 1386656312
MR. SANFORD JAY BROWN MD 1396851440
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.