Individual
JOHN GOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
254 CHESTER RD, P.O. BOX 281, DEVON, PA 19333-1627
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN179004L
PA
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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