Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | D64869 | MD |
N | 207QS0010X | Family Doctor - Sports Medicine | TP786 | KY |
NPI | 1275694408 |
---|---|
Provider Name | Dr. Valerie Cothran |
First Address | Silver Spring, MD 20902-3160 |
Second Address | Baltimore, MD 21201-1771 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 29/03/2012 |