| Doctor Name: | LARRY STOWERS |
| NPI Number: | 1477977569 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MHNP |
| License Number: | AP5403 |
| Business Practice Address: | 5955 Zeamer Avenue 673d Mdg Jber, AK - 995063700 |
| Business Phone Number: | 9075802181 |
| Business Fax Number: | |
| Mailing Address: | 5955 Zeamer Avenue, 673d Mdg JBER |
| State: | AK |
| Postal Code: | 995063700 |
| Phone Number: | 9075802181 |
| Fax Number: | |
| NPI Enumeration Date: | 02/10/2014 |
| NPI Last Update Date: | 02/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | AP5403 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |