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General NPI Number Information
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NPI Number | 1407172380
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Entity Type | Individual
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Provider Name | JASON COWAN D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/16/2010
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Last Update Date | 09/28/2015
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Provider Practice Location Address
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Address Line | 201 AVALON AVE
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City | MUSCLE SHOALS
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State | AL
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Zip | 35661-2805
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Country | US
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Telephone | 256-386-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 201 AVALON AVE
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City | MUSCLE SHOALS
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State | AL
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Zip | 35661-2805
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Country | US
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Telephone | 256-386-1600
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | DO.1429
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | DO2319
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 03881
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License Number State | KY
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