Individual
DR. PAYTON K. MCGOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4550 MEMORIAL DR, STE. 340, BELLEVILLE, IL 62226-5372
(618) 257-6200
(618) 257-6679
Mailing address
4550 MEMORIAL DR, STE. 340, BELLEVILLE, IL 62226-5372
(618) 257-6200
(618) 257-6679
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036132150
IL
208M00000X
Hospitalist Physician
Primary
036132150
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036132150
IDFPR
IL
Enumeration date
07/25/2010
Last updated
02/28/2014
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