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Individual

MARILYN A. GOWEN

Active
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Individual

MARILYN A. GOWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101045398
VA
2080P0214X
Pediatric Pulmonology Physician
Primary
0101045398
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000975001
—
DE
05
—
0018725450001
—
PA
05
—
006722067
—
VA
05
—
109921300
—
MD
05
—
6700074000
—
WV
05
—
890540I
—
NC
Enumeration date
05/12/2006
Last updated
12/09/2009
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