Individual
JOHN DAVID COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1106 FAIRWAY ST, BOWLING GREEN, KY 42103-2418
(270) 783-8003
(270) 783-8005
Mailing address
1106 FAIRWAY ST, BOWLING GREEN, KY 42103-2418
(270) 783-8003
(270) 783-8005
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
41690
KY
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
41690
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100054940
—
KY
Enumeration date
12/18/2007
Last updated
07/21/2021
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