# CLARENCE W. GOWEN JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1376593996
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 0101045565 | VA | — |
| 208000000X | Pediatrics Physician | 0101045565 | VA | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 0101045565 | VA | Yes |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 06/26/2023