Individual
PHILLIP LEE MCCOWN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 W ELK AVE, SUITE 800, DUNCAN, OK 73533-1642
(580) 251-8881
(580) 251-8883
Mailing address
2000 W ELK AVE, SUITE 800, DUNCAN, OK 73533-1642
(580) 251-8881
(580) 251-8883
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9742
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4475107002
CIGNA
OK
01
—
730996732004
BLUE CROSS BLUE SHIELD
OK
01
—
P00220005
RAILROAD MEDICARE
OK
Enumeration date
03/29/2006
Last updated
07/08/2007
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