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Organization

THORNVILLE FAMILY MEDICAL CENTER INC

Active
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Organization

THORNVILLE FAMILY MEDICAL CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY I COWAN DO (PRESIDENT)
(740) 246-6361
Entity
Organization

Contact information

Practice address
41 FOSTER DR, THORNVILLE, OH 43076
(740) 246-6361
(740) 246-4722
Mailing address
PO BOX 550, LANCASTER, OH 43130-0550
(740) 687-5164
(740) 654-1417

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0511413
—
OH
Enumeration date
02/24/2006
Last updated
03/16/2010
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