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NPI Code Detail

MEDICARE: SONIA ODONNELL MCGOWIN DC

MEDICARE: SONIA ODONNELL MCGOWIN DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2011000683MO

General Provider Information

NPI Number : 1245535921
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONIA ODONNELL MCGOWIN DC
Provider Business Mailing Address
First Line : 2409 HYDE PARK RD
Second Line :
City : JEFFERSON CITY
State : MO
Zip : 65109-4732
Country : US
Telephone Number : 573-635-6217
Fax Number : 573-635-6574
Provider Business Practice Location Address
First Line : 2409 HYDE PARK RD
Second Line :
City : JEFFERSON CITY
State : MO
Zip : 65109-4732
Country : US
Telephone Number : 573-635-6217
Fax Number : 573-635-6574
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2011
Last Update Date : 12/13/2022

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Directions to “ SONIA ODONNELL MCGOWIN DC” Practice Location

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