Provider Demographics
NPI:1649424185
Name:COTA, ALAN S (CP)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:S
Last Name:COTA
Suffix:
Gender:M
Credentials:CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 S 6TH AVENUE
Mailing Address - Street 2:TUCSON VAMC, 05-121
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:58723-0001
Mailing Address - Country:US
Mailing Address - Phone:520-792-1450
Mailing Address - Fax:520-629-1877
Practice Address - Street 1:3601 S 6TH AVENUE
Practice Address - Street 2:TUCSON VAMC, 05-121
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:58723-0001
Practice Address - Country:US
Practice Address - Phone:520-792-1450
Practice Address - Fax:520-629-1877
Is Sole Proprietor?:No
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist