Individual
ZACKARY KEITH COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4403 HARRISON BLVD STE 700A, OGDEN, UT 84403-3295
(801) 387-5300
(801) 387-5333
Mailing address
PO BOX 27128, SLC, UT 84127-0128
(801) 387-5300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12952602-1205
UT
Other
Enumeration date
03/23/2021
Last updated
09/19/2022
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