Individual
DR. GREGORY MICHAEL COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9145 W THUNDERBIRD RD STE 101, PEORIA, AZ 85381-4820
(623) 815-7800
(623) 815-7900
Mailing address
9145 W THUNDERBIRD RD STE 101, PEORIA, AZ 85381-4820
(623) 815-7800
(623) 815-7900
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
48556
AZ
207K00000X
Allergy & Immunology Physician
ME110800
FL
208000000X
Pediatrics Physician
48556
AZ
208000000X
Pediatrics Physician
ME110800
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003990800
—
FL
05
—
935585
—
AZ
Enumeration date
09/27/2009
Last updated
10/26/2021
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