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Organization

RYAN W COWBURN OD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN WILLIAM COWBURN O.D. (OWNER/OPTOMETRIST)
(724) 349-1237
Entity
Organization

Contact information

Practice address
2121 SHELLY DR, INDIANA, PA 15701-2395
(724) 349-1237
(724) 465-0127
Mailing address
2121 SHELLY DR, INDIANA, PA 15701-2395
(724) 349-1237
(724) 465-0127

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000276
PA

Other

Enumeration date
06/10/2008
Last updated
06/10/2008
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