Individual
DR. ARCHIE R MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 FORE RIVER PKWY, PORTLAND, ME 04102-2779
(207) 879-3000
(207) 777-1439
Mailing address
PO BOX 986520 DEPARTMENT 250, BOSTON, MA 02298-6520
(207) 784-2554
(207) 777-1439
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
11784
NH
2085N0700X
Neuroradiology Physician
154492
MA
2085R0202X
Diagnostic Radiology Physician
11784
NH
2085R0202X
Diagnostic Radiology Physician
Primary
MD27493
ME
2085R0204X
Vascular & Interventional Radiology Physician
154492
MA
Other
Enumeration date
12/30/2005
Last updated
08/05/2024
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