TY GOWAN

Peer Specialist

Active Individual
NPI: 1912639816

Practice Address

4300 N LINCOLN BLVD
Oklahoma City, OK 73105

Phone: (405) 424-7711

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1912639816 is the National Provider Identifier for TY GOWAN, a Peer Specialist provider located in Oklahoma City, OK. This NPI was enumerated on June 29, 2022.
TY GOWAN practices at 4300 N LINCOLN BLVD, Oklahoma City, OK 73105.

Quick Facts

NPI
1912639816
Type
Individual
Enumerated
Jun 29, 2022
Last Updated
Aug 30, 2023

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