Individual
DR. LARRY IRA COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
41 FOSTER DR, THORNVILLE, OH 43076-8010
(740) 246-6361
(740) 246-4722
Mailing address
PO BOX 1821, ZANESVILLE, OH 43702-1821
(740) 455-3304
(740) 455-3686
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34006965
OH
207QA0401X
Addiction Medicine (Family Medicine) Physician
34.003340
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0492024
—
OH
Enumeration date
09/06/2005
Last updated
12/31/2019
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