Blake William Mcgowan in Little Rock - Family Medicine
Blake William Mcgowan - NPI 1174518229
Blake William Mcgowan is a Family Medicine in Little Rock, Arkansas. Blake William Mcgowan practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Blake William Mcgowan is 1174518229. The last update date is 2021-01-26.
Blake William Mcgowan's current location address is 500 S University Ave, Little Rock, Arkansas. You can contact this provider via phone number 5016604484 and fax number 5016604490. The mailing address for Blake William Mcgowan is 500 S University Ave, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Blake William Mcgowan |
---|---|
Address | 500 S University Ave, Little Rock, Arkansas |
Phone Number | 5016604484 |
Fax Number | 5016604490 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1174518229 |
---|---|
Provider Enumeration Date | 2005-09-14 |
Last Updated Date | 2021-01-26 |
Provider Mailing Address Detail
Address | 500 S University Ave |
---|---|
City | Little Rock |
State | Arkansas (AR) |
Post Code | 722055302 |
Phone Number | 5016604484 |
Fax Number | 5016604490 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
---|---|
Taxonomy | 207Q00000X |
Licence No | E4101 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
01-01185 | AR | UNITED HEALTHCARE | |
4080013400 | AR | QUALCHOICE | |
P00168487 | RALROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Blake William Mcgowan by the Centers for Medicare & Medicaid Services?
The Blake William Mcgowan has been issued the NPI (National Provider Identifier) 1174518229, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Blake William Mcgowan is physically located?
The Blake William Mcgowan is physically situated at the following address: 500 S University Ave, Little Rock, AR, 722055302.
What is Blake William Mcgowan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Blake William Mcgowan is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174518229 to Blake William Mcgowan?
The Centers for Medicare & Medicaid Services assigned the 1174518229 to Blake William Mcgowan on 2005-09-14.
When was the information regarding Blake William Mcgowan most recently updated?
The details pertaining to the Blake William Mcgowan, including its address, specialty, and other relevant information, were last refreshed on 2021-01-26.