Individual
DAVID PETER COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 SE 136TH AVE, VANCOUVER, WA 98684-6930
(360) 944-9889
(360) 944-9686
Mailing address
210 SE 136TH AVE, VANCOUVER, WA 98684-6930
(360) 944-9889
(360) 944-9686
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
D64931
MD
207RX0202X
Medical Oncology Physician
D64931
MD
207RX0202X
Medical Oncology Physician
Primary
MD60552621
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2044874
—
WA
05
—
417689800
—
MD
05
—
500686809
—
OR
Enumeration date
11/21/2006
Last updated
01/13/2016
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