Individual
RUTH H MCGOWAN
Active
Individual
RUTH H MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
001738
IA
363AM0700X
Medical Physician Assistant
Primary
12697
MN
363AM0700X
Medical Physician Assistant
PA22945
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205924156
—
IA
01
—
P00466587
RR MEDICARE
IA
Enumeration date
10/10/2006
Last updated
08/29/2018
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