Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 102531-0501 | UT |
NPI | 1063417335 |
---|---|
Provider Name | Dr. Michael Karl Lowe |
First Address | Salt Lake City, UT 84102-1109 |
Second Address | Salt Lake City, UT 84102-1109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2005 |
Last Update Date | 12/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
596 68 6757 005 | (05) | UT |
T77923 | (02) | UT |