Larry Ira Cowan D.O.

NPI 1023002011 - Family Medicine - 207Q00000X

NPI Details
NPI 1023002011
Gender Male
Enumeration Date 09/06/2005
Last Updated 10/24/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
THORNVILLE OH, 43076-8010, US
Phone (740) 246-6361
Fax (740) 246-4722
Business Location
PO BOX 1821
ZANESVILLE OH, 43702-1821, US
Phone (740) 455-3304
Fax (740) 455-3686
Taxonomy Code 207Q00000X
License State Ohio
License Number 34006965
Remove 1023002011 NPI Number

According to our database, Dr. Larry Ira Cowan D.O. NPI is 1023002011, taxonomy code is 207Q00000X and license number is 34006965, license state is located at Ohio. Larry Ira Cowan D.O. physically located at 41 Foster Dr, Thornville OH, 43076-8010. NPI Number Larry Ira Cowan D.O. has the Individual type.

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1023002011 NPI number is provided on an as is basis without warranty of any kind. 1023002011 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Ira Cowan D.O. are for informational purposes only.