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Domynik Mowrey
NPI 1578347746 · on the registry since 2023 · sole proprietor
Practice
- Address
- 400 Saint Louis St Ste 1
Edwardsville, IL 62025 - Phone
- (618) 226-4397
- Clinicians at this address
- 53
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois