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Individual

DR. SHAYNE MCGOWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3333 MCINTOSH CIR STE 1, JOPLIN, MO 64804-3681
(417) 347-8055
(417) 347-8054
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-8400
(417) 347-5818

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2023048831
MO
207P00000X
Emergency Medicine Physician
8856
OK
208VP0014X
Interventional Pain Medicine Physician
Primary
2023048831
MO

Other

Enumeration date
05/19/2022
Last updated
07/28/2026
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