Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175L00000X | Homeopath | 67 | AZ |
NPI | 1144372269 |
---|---|
Provider Name | Dr. Todd Anthony Rowe |
First Address | Phoenix, AZ 85015-3466 |
Second Address | Phoenix, AZ 85015-3466 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Z23122Z | (02) | AZ |