Individual
PAUL CHRISTOPHER COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19550 E 39TH ST S STE 410, INDEPENDENCE, MO 64057-2307
(816) 303-2400
(816) 303-2484
Mailing address
19550 E 39TH ST S, STE 410, INDEPENDENCE, MO 64057-2358
(816) 303-2400
(816) 889-1584
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2016008223
MO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2016008223
MO
Other
Enumeration date
06/23/2010
Last updated
04/02/2018
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