Individual
LAWRENCE E KOWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5605 W EUGIE AVE STE 110, GLENDALE, AZ 85304-1273
(623) 847-2000
Mailing address
2323 W ROSE GARDEN LN, PHOENIX, AZ 85027-2530
(623) 931-7999
(623) 842-5640
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
13965
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
244179
—
AZ
Enumeration date
10/25/2005
Last updated
03/08/2019
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