Individual
DR. ANDREW THOMAS MCGOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
24625
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0534520001
MEDICARE DME
SC
01
—
24625
MEDICAL LICENSE
SC
05
—
246255
—
SC
Enumeration date
08/09/2006
Last updated
10/22/2024
Update your record
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