Ty Gowan
Ty Gowan is a Peer Specialist in Oklahoma City, Oklahoma. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
4300 N Lincoln BlvdOklahoma City, OK 73105-5107
Phone: (405) 424-7711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1912639816 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 29, 2022 |
| Last updated in NPPES | August 30, 2023 |
| Certification date | August 30, 2023 |
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