Mcewen, Gary W

Mcewen, Gary W is an sole proprietor health care provider with primary practice located at 276 Ne Tudor Rd , Lee'S Summit MO 64086-5696. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Mcewen, Gary W can be contacted via phone (816) 525-8500.

Contact Information

Primary practice address
276 Ne Tudor Rd Lee'S Summit MO 64086-5696
Phone: (816) 525-8500
Fax: (816) 525-0185
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X R9N60 Missouri
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X R9N30 Missouri
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X R9N30 Missouri
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X R9N30 Missouri

Profile Details

NPI number 1477554657
LBN Legal business name Mcewen, Gary W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2005
Last updated Aug 22nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477554657 NPPES
Missouri Other P00412861 RAILROAD PTAN

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