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Individual
DONALD D MCGOWAN
Active
Individual
DONALD D MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000684
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000088330
ANTHEM
IN
05
—
100091280A
—
IN
01
—
1629157680
NPI
IN
01
—
1932389244
NPI
IN
01
—
M300056628
PTAN
IN
Enumeration date
11/02/2006
Last updated
11/19/2012
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