Individual
DR. RYAN WILLIAM COWBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2121 SHELLY DR, INDIANA, PA 15701-2395
(724) 349-1237
(724) 465-0127
Mailing address
2121 SHELLY DR, INDIANA, PA 15701-2395
(724) 349-1237
(724) 465-0127
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000276
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001923214
—
PA
Enumeration date
07/30/2006
Last updated
07/31/2009
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