Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223X0400X | Orthodontists | 009029 | GA |
N | 1223X0400X | Orthodontists | 104613 | CO |
N | 1223X0400X | Orthodontists | 3228 | AL |
N | 1223X0400X | Orthodontists | 4473 | NC |
N | 1223X0400X | Orthodontists | DN 006753 | FL |
NPI | 1003895558 |
---|---|
Provider Name | Dr. Joseph Stephen Coward |
First Address | Tacoma, WA 98431-0001 |
Second Address | Tacoma, WA 98431-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2006 |
Last Update Date | 08/07/2007 |