Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | M7126 | TX |
NPI | 1013111673 |
---|---|
Provider Name | Alan Lee Cowan |
First Address | Olympia, WA 98502-8701 |
Second Address | Olympia, WA 98502-8701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 30/01/2018 |