Individual
MR. ROBIN DELAINE MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
547TH MED CO, FORT LEWIS, WA 98433
(253) 966-8398
Mailing address
7709 BRETHERTON AVE NE, LACEY, WA 98516-6286
(360) 459-2876
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAO6625
TX
Other
Enumeration date
03/14/2007
Last updated
01/23/2023
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