Individual
ANDREW S MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1250 E MARSHALL STREET, NEUROSURGERY, RICHMOND, VA 23298-0510
(804) 828-9165
(804) 828-4493
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003537
VA
363A00000X
Physician Assistant
—
VA
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
02/09/2011
Last updated
08/13/2012
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