Individual
DR. STEPHEN JON MCCOWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(717) 576-3989
Mailing address
4041 RIDGE AVE APT 18105, PHILADELPHIA, PA 19129-1555
(717) 576-3989
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS041742
PA
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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