Individual
ALLEN COGSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2720 STONE PARK BLVD, SIOUX CITY, IA 51104-3734
(712) 279-3500
Mailing address
2208 150TH ST, LAWTON, IA 51030-8045
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
558211
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
D159728
IA
Other
Enumeration date
06/22/2020
Last updated
10/11/2024
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