Doctor Name: | DR. JOHN RODERICK MCNEILL ROWE |
NPI Number: | 1558342303 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, MPH |
License Number: | 15919 |
Business Practice Address: | 5109 Leesburg Pike Suite 538 Falls Church, VA - 220413215 |
Business Phone Number: | 7036810022 |
Business Fax Number: | 7036812950 |
Mailing Address: | Po Box 215, OLD FIELDS |
State: | WV |
Postal Code: | 268450215 |
Phone Number: | 7036810022 |
Fax Number: | |
NPI Enumeration Date: | 11/09/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15919 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |