Doctor Name: | DR. JOHN LELAND COWGER |
NPI Number: | 1881895282 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 12545 |
Business Practice Address: | 125-2 Sunset Frisco, CO - 804431062 |
Business Phone Number: | 9706681618 |
Business Fax Number: | 9706681618 |
Mailing Address: | Po Box 1062, FRISCO |
State: | CO |
Postal Code: | 804431062 |
Phone Number: | 9706681618 |
Fax Number: | 9706681618 |
NPI Enumeration Date: | 05/31/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 12545 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |