Organization
LIVERMORE ALLERGY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETH LYNN COWAN M.D. (MD)
(925) 846-5100
Entity
Organization
Contact information
Practice address
2324 SANTA RITA RD, PLEASANTON, CA 94566-4152
(925) 846-5100
(925) 846-4982
Mailing address
2324 SANTA RITA RD, PLEASANTON, CA 94566-4152
(925) 846-5100
(925) 846-4982
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A66278
BETH COWAN LICENSE
CA
01
—
G62900
DEAN LICENSE
CA
01
—
G8589
MICHAEL COWAN
CA
Enumeration date
07/29/2006
Last updated
07/25/2008
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