Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 5416093-8905 | UT |
Y | 2086S0105X | Surgery of the Hand | 5416093-1205 | UT |
NPI | 1275714115 |
---|---|
Provider Name | Dr. William Frederick Gowski |
First Address | Murray, UT 84107-6121 |
Second Address | Murray, UT 84107-6121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2007 |
Last Update Date | 20/11/2012 |