Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | E1358 | CA |
Y | 222Z00000X | Podiatrist | E1358 | CA |
NPI | 1073515185 |
---|---|
Provider Name | Brian A Mcdowell |
First Address | Carmichael, CA 95608-6333 |
Second Address | Carmichael, CA 95608-6333 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 15/12/2014 |