Individual
DORIS GALE COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
590 NORTH 100 EAST, BEAVER, UT 84713
(806) 445-9694
Mailing address
590 NORTH 100 EAST, P. O. BOX 1572, BEAVER, UT 84713
(806) 445-9694
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
6337152-3102
UT
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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