Cottam, Tamara O.

Cottam, Tamara O. is an individual health care provider with primary practice located at 820 E. 17Th Street , Cheyenne WY 82001-4797. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Cottam, Tamara O. can be contacted via phone (307) 777-7911.

Contact Information

Primary practice address
820 E. 17Th Street Cheyenne WY 82001-4797
Phone: (307) 777-7911
Fax: (307) 634-3510
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5711A Wyoming

Profile Details

NPI number 1164488185
LBN Legal business name Cottam, Tamara O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Sep 24th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164488185 NPPES
Kansas Other 23042 DEPT. HEALTH HUMAN SVCS.
Kansas Other 313170 DEPT. HEALTH HUMAN SVCS.
Kansas MEDICAID 111040300 DEPT. HEALTH HUMAN SVCS.
Kansas Other P00169593 DEPT. HEALTH HUMAN SVCS.

Popular Providers