Individual
LESLIE R MCGOWAN
Active
Individual
LESLIE R MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD0000014127
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0063951
BCBS
TN
01
—
0340
BCBS
MS
05
—
112244001
—
AR
01
—
2569882
CIGNA
—
01
—
340005959
RR MEDICARE
—
01
—
4025446
AETNA
—
01
—
81493
BCBS
AR
Enumeration date
07/13/2006
Last updated
05/16/2008
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