Jill Cottel Md, In.

NPI #1750521241 in Poway, California

Provider Information

NPI Number
1750521241
Entity Type
Organization
Organization Name
Jill Cottel Md, In.
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Feb 24, 2009
Last Updated
May 5, 2016

Practice Location

Address
12630 MONTE VISTA RD
Address 2
209
City
Poway
ZIP Code
92064-2530
Phone
(858) 312-1672

Authorized Official

Name
KENNY HEINE
Title
VP OF OPERATIONS
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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