Individual
CAITLIN MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
230 PROSPECT PL STE 340B, CORONADO, CA 92118-1991
(619) 522-4000
Mailing address
230 PROSPECT PL STE 340B, CORONADO, CA 92118-1991
(619) 522-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110005369
VA
363A00000X
Physician Assistant
25MP00785300
NJ
363A00000X
Physician Assistant
Primary
58460
CA
Other
Enumeration date
09/11/2014
Last updated
02/08/2024
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