Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD60274392 | WA |
N | 111NI0900X | Internist | MD60274392 | WA |
Y | 207RH0003X | Hematology & Oncology | MD60274392 | WA |
NPI | 1043471733 |
---|---|
Provider Name | Dr. Andrew John Cowan |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98109-4405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2008 |
Last Update Date | 20/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1043471733 | (05) | WA |