Individual
DR. LARRY M COWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2450 CRAVEN ST BLDG 3300, SAN DIEGO, CA 92136-5599
(619) 881-9202
Mailing address
SANTA MARGARITA ROAD, BLDG H100 ATTENTION: CODE 094, NAVAL HOSPITAL, CAMP PENDLETON, CAMP PENDLETON, CA 92055-5191
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
0102202503
VA
Other
Enumeration date
10/10/2008
Last updated
03/15/2023
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