Individual
DR. CLINTON O GOWAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-9120
(816) 404-9122
Mailing address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-9120
(816) 404-9122
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006393
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
446000294
TAX ID
MO
Enumeration date
07/11/2006
Last updated
10/03/2008
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