Individual
DR. BRIANNA JOY COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420-0160
(505) 368-6001
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A104666
CA
208000000X
Pediatrics Physician
A104666
CA
Other
Enumeration date
12/19/2007
Last updated
08/27/2010
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