Individual
THOMAS M COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1429 ALBIA RD, OTTUMWA, IA 52501-3946
(641) 684-2261
(641) 684-2254
Mailing address
1429 ALBIA RD, OTTUMWA, IA 52501-3946
(641) 684-2261
(641) 684-2254
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06319
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0289600
—
IA
01
—
53793
BCBS
—
Enumeration date
01/18/2006
Last updated
11/21/2007
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