NPI 1477382596

Timothy Brooks Cowart, IDC

Practitioner Independent Duty Corpsman La Fayette, NY

Practice location

Address: 2886 Eager Rd, La Fayette, NY 13084-9536
Phone: (206) 819-1813

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1477382596
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jul 2024
Record last updated: 29 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.