Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0101057507 | VA |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 0101057507 | VA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 0101057507 | VA |
NPI | 1104855667 |
---|---|
Provider Name | James E Dowd |
First Address | Virginia Beach, VA 23462-1784 |
Second Address | Virginia Beach, VA 23462-1784 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 01/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G79728 | (02) | VA |