Individual
GERALD J MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 PIERCE ST, SIOUX CITY, IA 51104-3725
(712) 294-5000
(712) 294-5091
Mailing address
2501 PIERCE ST, SIOUX CITY, IA 51104-3725
(712) 294-5000
(712) 294-5091
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1314
SD
207Q00000X
Family Medicine Physician
Primary
16908
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017939
—
IA
Enumeration date
12/19/2005
Last updated
12/04/2007
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