Individual
ROBERT GORDON MOWRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MEMORIAL HOSPITAL DR, SUITE 2-B, MOBILE, AL 36608-1183
(251) 343-8030
(251) 343-2499
Mailing address
100 MEMORIAL HOSPITAL DR, SUITE 2-B, MOBILE, AL 36608-1183
(251) 343-8030
(251) 343-2499
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
13991
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000060578
—
AL
01
—
051060578
BLUE CROSS
AL
Enumeration date
06/14/2006
Last updated
09/17/2010
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