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Individual
TIMOTHY MCCOWAN
Active
Individual
TIMOTHY MCCOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
19869
MS
2085R0204X
Vascular & Interventional Radiology Physician
C-5990
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110087001
—
AR
Enumeration date
09/27/2006
Last updated
03/12/2014
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