Doctor Name: | EDWARD L MCDOWELL |
NPI Number: | 1457352353 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 0110001606 |
Business Practice Address: | 306 S White St Dobson, NC - 270178938 |
Business Phone Number: | 3363864477 |
Business Fax Number: | 3363868005 |
Mailing Address: | Po Box 920, DOBSON |
State: | NC |
Postal Code: | 270170920 |
Phone Number: | 3363864477 |
Fax Number: | 3363868005 |
NPI Enumeration Date: | 08/02/2005 |
NPI Last Update Date: | 12/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 0110001606 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |