Individual
COURTNEY E SOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 SPRUCE STREET, PINE BASEMENT WEST, PHILADELPHIA, PA 19107-6130
(215) 829-3264
Mailing address
3624 MARKET STREET, SUITE 560W, PHILADELPHIA, PA 19104-2617
(215) 662-3958
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00189400
NJ
363AM0700X
Medical Physician Assistant
Primary
MA054165
PA
Other
Enumeration date
11/26/2007
Last updated
03/03/2010
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