Organization
UNIV OB/GYN ASSOC.,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN D COWAN M.D. (CHARIMAN OF OBSTETRICS/GYNECOLOGY)
(601) 984-5373
Entity
Organization
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5373
(601) 984-5476
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5373
(601) 984-5476
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014712
—
MS
Enumeration date
06/10/2006
Last updated
08/22/2020
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