Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 97136 | NM |
NPI | 1174618250 |
---|---|
Provider Name | Julian F Rowe |
First Address | Albuquerque, NM 87199-1960 |
Second Address | Albuquerque, NM 87109-4379 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 21/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E93070 | (02) | |
S5901 | (05) | NM |