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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. THOMAS FANCIS GOWEN JR., RN

Active Sole Proprietor

Nephrology Nurse · FLORISSANT, MO

Registration Details

NPI Number
1336897370
Provider Type
Individual
Gender
Male
NPI Issued
Mar 17, 2022 (4.1153998413877 yrs)
Last Updated
Mar 17, 2022
License
136999 (MO)
Sole Proprietor
Yes

Practice Information

Address
272 MAYFAIR PLAZA SHOPPING CTR
FLORISSANT, MO, 630338009
Browse MO providers · Browse ZIP 63033
Phone
3148591234
Primary Specialty
Nephrology Nurse
163WN0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.