Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK COWEN, IDMT
ActiveDEREK COWEN, IDMT is a Independent Duty Medical Technician healthcare provider located in SCOTT AIR FORCE BASE, Illinois. NPI 1477784312 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · SCOTT AIR FORCE BASE, IL
Registration Details
- NPI Number
- 1477784312
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2009 (17.017411061143 yrs)
- Last Updated
- Jul 27, 2009
Practice Information
- Address
-
505 RIMKUS DRIVESCOTT AIR FORCE BASE, IL, 62225Browse IL providers · Browse ZIP 62225
- Phone
- 9406362753
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.