L Tad Cowley MD

NPI 1073554804 - Emergency Medicine - 207P00000X

NPI Details
NPI 1073554804
Gender Male
Enumeration Date 06/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
190 E BANNOCK ST
BOISE ID, 83712-6241, US
Phone (208) 381-2222
Fax
Business Location
190 E BANNOCK ST
BOISE ID, 83712-6241, US
Phone (208) 381-2222
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Idaho
License Number M7494
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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.

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.