Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY W MCEWEN, M.D.
Active Sole ProprietorDermatology · LEE'S SUMMIT, MO
Registration Details
- NPI Number
- 1477554657
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2005 (20.697998408165 yrs)
- Last Updated
- Aug 22, 2008
- Licenses
-
R9N60 (MO)R9N30 (MO)R9N30 (MO)R9N30 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
276 NE TUDOR RDLEE'S SUMMIT, MO, 640865696Browse MO providers · Browse ZIP 64086
- Phone
- 8165258500
- Fax
- 8165250185
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Procedural Dermatology
- Additional Specialty
- Obesity Medicine
- Additional Specialty
- 207NP0225X
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.