Organization
C SCOTT COWELL OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C. SCOTT COWELL O.D. (OWNER)
(580) 336-2020
Entity
Organization
Contact information
Practice address
720 DELAWARE ST, PERRY, OK 73077-6425
(580) 336-2020
(580) 336-2333
Mailing address
720 DELAWARE ST, PERRY, OK 73077-6425
(580) 336-2020
(580) 336-2333
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
906
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100762490A
—
OK
Enumeration date
01/09/2007
Last updated
10/19/2010
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