Doctor Name: | DR. THOMAS WALKER COWAN |
NPI Number: | 1720324015 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD017670E |
Business Practice Address: | 916 Idlewood Ave Carnegie, PA - 151061212 |
Business Phone Number: | 4125518771 |
Business Fax Number: | |
Mailing Address: | Po Box 30938, PALM BEACH GARDENS |
State: | FL |
Postal Code: | 334200938 |
Phone Number: | 4125518771 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2012 |
NPI Last Update Date: | 12/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD017670E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |