Individual
BENJAMIN F COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
G32752
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G32752
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G327520
BLUE SHIELD
CA
05
—
00G327520
—
CA
01
—
P00319936
RR MEDICARE
CA
Enumeration date
11/23/2005
Last updated
10/23/2007
Update your record
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