Organization
BOWLING GREEN DERMATOLOGY & SKIN CANCER SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAVIS COWAN MD (OWNER)
(615) 672-5953
Entity
Organization
Contact information
Practice address
1106 FAIRWAY STREET, BOWLING GREEN, KY 42103
(615) 672-5953
(615) 672-5953
Mailing address
1106 FAIRWAY STREET, BOWLING GREEN, KY 42103
(615) 672-5953
(615) 672-5953
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
41690
KY
Other
Enumeration date
03/13/2008
Last updated
09/30/2008
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