Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 28662 | AZ |
NPI | 1285601112 |
---|---|
Provider Name | Dr. John M Rowley |
First Address | Phoenix, AZ 85048-7647 |
Second Address | Phoenix, AZ 85048-7694 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 09/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
691916 | (05) | AZ |
H60831 | (02) | AR |