Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 111446 | MO |
NPI | 1164425849 |
---|---|
Provider Name | Dr. Thomas R Dowd |
First Address | Lenexa, KS 66214-1505 |
Second Address | Independence, MO 64055-6981 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2005 |
Last Update Date | 01/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G33533 | (02) | MO |