Organization
INTENSIVIST GROUP OF MISSOURI INC
Active
Organization
INTENSIVIST GROUP OF MISSOURI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY S. COWEN M.D. (PRESIDENT)
(866) 344-0543
Entity
Organization
Contact information
Practice address
1015 BOWLES AVE, FENTON, MO 63026-2394
(866) 344-0543
(866) 344-3934
Mailing address
830 W IL ROUTE 22, SUITE 50, LAKE ZURICH, IL 60047-2560
(866) 344-0543
(866) 344-3934
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
04/12/2010
Last updated
07/20/2010
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