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NPI Code Detail

MEDICARE: DR. JOHN DANIEL COWAN MD

MEDICARE:  DR. JOHN DANIEL COWAN  MD
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
1207L00000XAnesthesiology Physician30679AZ
2207LP2900XPain Medicine (Anesthesiology) PhysicianC50218CA

General Provider Information

NPI Number : 1891714325
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN DANIEL COWAN MD
Provider Business Mailing Address
First Line : 5 HOLLAND STE 101
Second Line :
City : IRVINE
State : CA
Zip : 92618-2568
Country : US
Telephone Number : 949-588-2190
Fax Number : 949-588-2199
Provider Business Practice Location Address
First Line : 150 PIONEER LN
Second Line :
City : BISHOP
State : CA
Zip : 93514-2556
Country : US
Telephone Number : 760-873-5811
Fax Number : 760-873-5811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 01/09/2008

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Directions to “ DR. JOHN DANIEL COWAN MD” Practice Location

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