Individual
MR. JAMES EDWARD COWGER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
929 STACEY BURK DR, FLORA, IL 62839-3241
(618) 662-2191
(618) 662-8090
Mailing address
929 STACEY BURK DR, PO BOX 40, FLORA, IL 62839-3241
(618) 662-2191
(618) 662-8090
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
000593533
IL
163W00000X
Registered Nurse
041.336590
IL
163W00000X
Registered Nurse
2007005874
MO
363LF0000X
Family Nurse Practitioner
Primary
209.009553
IL
Other
Enumeration date
09/24/2008
Last updated
06/26/2012
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