NPI Details | |
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NPI | 1073554804 |
Gender | Male |
Enumeration Date | 06/10/2006 |
Last Updated | 07/08/2007 |
Entity Type | Individual |
Active | Over 11 years ago |
Practice Location | |
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190 E BANNOCK ST BOISE ID, 83712-6241, US |
|
Phone | (208) 381-2222 |
Fax |
Business Location | |
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190 E BANNOCK ST BOISE ID, 83712-6241, US |
|
Phone | (208) 381-2222 |
Fax |
Toxanomy | |
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Taxonomy Code | 207P00000X |
License State | Idaho |
License Number | M7494 |
Remove 1073554804 NPI Number |
According to our database, L Tad Cowley MD NPI is 1073554804, taxonomy code is 207P00000X and license number is M7494, license state is located at Idaho. L Tad Cowley MD physically located at 190 E Bannock St, Boise ID, 83712-6241. NPI Number L Tad Cowley MD has the Individual type.
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1073554804 NPI number is provided on an as is basis without warranty of any kind. 1073554804 is maintained by the National Plan & Provider Enumeration System. The contents of L Tad Cowley MD are for informational purposes only.
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