Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 13863 | TN |
NPI | 1205905304 |
---|---|
Provider Name | Dr. Ronald Mcdow |
First Address | Nashville, TN 37211-4717 |
Second Address | Nashville, TN 37211-4717 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A96834 | (02) | TN |