Individual
DR. RANDY T,. MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
80 LOCUST AVE, AMSTERDAM, NY 12010-2623
(519) 843-0382
(518) 843-0355
Mailing address
80 LOCUST AVE, AMSTERDAM, NY 12010-2623
(519) 843-0382
(518) 843-0355
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
037120
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01468464
—
NY
Enumeration date
05/16/2007
Last updated
07/09/2007
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