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Individual

DR. SHAYNE MCGOWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1130 E 32ND ST, JOPLIN, MO 64804-4034
(417) 347-2273
Mailing address
3435 RUBY WAY, JOPLIN, MO 64804-3760
(585) 520-8886

Taxonomy

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

Other

Enumeration date
05/19/2022
Last updated
01/30/2025
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