MEDICARE: COLEMAN SCOTT COWART

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207P00000X	Emergency Medicine Physician	DO.3242	AL

General Provider Information

NPI Number	:	1578183828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLEMAN SCOTT COWART

Provider Business Mailing Address
First Line	:	1180 N INDIAN CANYON DR STE E418
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4868
Country	:	US
Telephone Number	:	760-323-6830
Fax Number	:

Provider Business Practice Location Address
First Line	:	1180 N INDIAN CANYON DR STE E418
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4868
Country	:	US
Telephone Number	:	760-323-6830
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2020
Last Update Date	:	05/10/2023

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Directions to “ COLEMAN SCOTT COWART ” Practice Location

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