Individual
BENNETT Y COWAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
271 MEDICAL PARK BLVD, BRISTOL, TN 37620-7455
(423) 968-2311
(423) 968-2312
Mailing address
271 MEDICAL PARK BLVD, BRISTOL, TN 37620-7455
(423) 968-2311
(423) 968-2312
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD0000009364
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3001112
—
TN
Enumeration date
08/25/2005
Last updated
03/07/2008
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