Mcgowan, Leslie R

Mcgowan, Leslie R is an individual health care provider with primary practice located at 6027 Walnut Grove Suite 319 The Urology Group Pc, Memphis TN 38120-2128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mcgowan, Leslie R can be contacted via phone (901) 767-8158.

Contact Information

Primary practice address
6027 Walnut Grove Suite 319 The Urology Group Pc Memphis TN 38120-2128
Phone: (901) 767-8158
Fax: (901) 767-1555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD0000014127 Tennessee

Profile Details

NPI number 1710902440
LBN Legal business name Mcgowan, Leslie R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated May 16th, 2008 - about 17 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 1710902440 NPPES
Other 2569882 CIGNA
Other 0063951 CIGNA
Other 4025446 CIGNA
Other 0340 CIGNA
Other 340005959 CIGNA
MEDICAID 112244001 CIGNA
Other 81493 CIGNA

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