Provider Demographics
NPI:1306234133
Name:COTTEN, WILLIAM WRIGHT (MA)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:WRIGHT
Last Name:COTTEN
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3736 E WHITEHALL DR
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85140-5034
Mailing Address - Country:US
Mailing Address - Phone:480-627-9499
Mailing Address - Fax:
Practice Address - Street 1:3736 E WHITEHALL DR
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85140-5034
Practice Address - Country:US
Practice Address - Phone:480-627-9499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-01
Last Update Date:2015-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor