Doctor Name: | EVAN ROWLEY |
NPI Number: | 1386046662 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 53037 |
Business Practice Address: | 85 Sierra Park Rd Mammoth Hospital Mammoth Lakes, CA - 935462073 |
Business Phone Number: | 7608721475 |
Business Fax Number: | |
Mailing Address: | 85 Sierra Park Rd, Mammoth Hospital MAMMOTH LAKES |
State: | CA |
Postal Code: | 935462073 |
Phone Number: | 7608721475 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2014 |
NPI Last Update Date: | 11/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 53037 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |