Individual
MR. THOMAS FANCIS GOWEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
272 MAYFAIR PLAZA SHOPPING CTR, FLORISSANT, MO 63033-8009
(314) 859-1234
Mailing address
7710 ELTON ST, GRANTWOOD VLG, MO 63123-3806
(314) 598-2867
Taxonomy
Speciality
Code
Description
License number
State
163WN0300X
Nephrology Registered Nurse
Primary
136999
MO
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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