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

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FAQs about Blake William Mcgowan

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.

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