Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | DO181205 | OR |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | OS016946 | PA |
NPI | 1407149487 |
---|---|
Provider Name | Dr. Daniel John Cowley |
First Address | Grants Pass, OR 97527 |
Second Address | Grants Pass, OR 97527-5543 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2011 |
Last Update Date | 18/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1031274900001 | (05) | PA |