Individual
KARL DAVID MCCOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1628 S MILDRED ST, STE 104, TACOMA, WA 98465-1628
(253) 565-6777
(253) 565-8777
Mailing address
1628 S MILDRED ST, STE 104, TACOMA, WA 98465-1628
(253) 565-6777
(253) 565-8777
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD00017146
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0255612
STATE L&I
WA
01
—
0300739
L&I
WA
01
—
G8912824
MEDICARE
WA
01
—
P00784717
RAILROAD MEDICARE
WA
Enumeration date
06/09/2005
Last updated
12/07/2012
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