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NPI Code Detail

MEDICARE: CHRISTOPHER COWGER ATC

MEDICARE: CHRISTOPHER COWGER ATC
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
12255A2300XAthletic TrainerRT003656PA

General Provider Information

NPI Number : 1376751552
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER COWGER ATC
Provider Business Mailing Address
First Line : 113 OLD MEADOW RD
Second Line :
City : CANONSBURG
State : PA
Zip : 15317-2333
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 433 CASTLE SHANNON BLVD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15234-1405
Country : US
Telephone Number : 412-344-9044
Fax Number : 412-344-9043
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2007
Last Update Date : 07/08/2007

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Directions to “ CHRISTOPHER COWGER ATC” Practice Location

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