Individual
DR. IVAN DARIUS GOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 COLLEGE ST, HAMILTON, NY 13346-1227
(315) 824-1250
Mailing address
85 COLLEGE ST, HAMILTON, NY 13346-1227
(315) 824-1250
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
153105
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00842957
—
NY
Enumeration date
03/17/2006
Last updated
09/14/2007
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