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Individual

MR. ROBERT LEE MCGOWIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1240 N BUTTERFIELD RD, BOLIVAR, MO 65613-3016
(417) 326-6021
Mailing address
407 N WARD ST, STOCKTON, MO 65785-8502
(417) 955-0340

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
03/17/2021
Last updated
03/17/2021
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