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Individual
DR. TAVIS COWAN
Active
Individual
DR. TAVIS COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042-0011895
VT
207Q00000X
Family Medicine Physician
MD172092
OR
261QU0200X
Urgent Care Clinic/Center
0420011895
VT
Other
Enumeration date
06/15/2006
Last updated
08/03/2015
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