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Individual

DAVID B COWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1344 WINTERGREEN LN NE, BAINBRIDGE ISLAND, WA 98110
(206) 842-5632
(206) 842-5992
Mailing address
1344 WINTERGREEN LN NE, BAINBRIDGE ISLAND, WA 98110-5118
(206) 842-5632
(206) 842-5992

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00027659
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039581
LABOR & INDUSTRY
WA
05
8137093
WA
01
CO4793
BLUE SHIELD
WA
01
US0899771
AETNA/USHC PCP
WA
Enumeration date
08/30/2006
Last updated
06/13/2018
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