Individual
MR. PETER CHARLES MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3223 S LOOP 289 STE 600, LUBBOCK, TX 79423-1372
(917) 634-5311
Mailing address
584 WALLA WALLA WAY, LA CONNER, WA 98257
(757) 814-0477
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101239156
VA
390200000X
Student in an Organized Health Care Education/Training Program
0101239156
VA
Other
Enumeration date
01/30/2006
Last updated
04/29/2025
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