Cowan, Gregory Michael
Cowan, Gregory Michael is an individual health care provider with primary practice located at 9145 W Thunderbird Rd Ste 101 , Peoria AZ 85381-4820. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Cowan, Gregory Michael can be contacted via phone (623) 815-7800.Contact Information
Primary practice address
9145 W Thunderbird Rd Ste 101
Peoria AZ 85381-4820
Phone: (623) 815-7800
Fax: (623) 815-7900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | ME110800 | Florida |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME110800 | Florida |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 48556 | Arizona |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 48556 | Arizona |
Profile Details
| NPI number | 1164756904 |
|---|---|
| LBN Legal business name | Cowan, Gregory Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2009 |
| Last updated | Oct 26th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164756904 | NPPES |
| Florida | MEDICAID | 003990800 | |
| Florida | MEDICAID | 935585 |
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