Individual
LESLIE R MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6027 WALNUT GROVE SUITE 319, THE UROLOGY GROUP PC, MEMPHIS, TN 38120-2128
(901) 767-8158
(901) 767-1555
Mailing address
6027 WALNUT GROVE SUITE 319, THE UROLOGY GROUP PC, MEMPHIS, TN 38120-2128
(901) 767-8158
(901) 767-1555
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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