Phillip Monroe Cowan, MD
Student in an Organized Health Care Education/Training Program in Little Rock, AR. Individual provider (NPI-1).
NPI number1982165932
StatusActive
Last updated in NPPESAug 4, 2022
Details
- NPI
- 1982165932
- Entity type
- Individual (NPI-1)
- Name
- Phillip Monroe Cowan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 30, 2019
- Certification date
- Aug 4, 2022
- Last updated
- Aug 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
4301 W Markham St # 589Little Rock, AR 72205-7101
Phone 501-526-8148
Mailing address
4301 W Markham St # 589Little Rock, AR 72205-7101
Phone 501-526-8100
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