MEDICARE: CHRISTOPHER SCOTT MOW MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	G74362	CA
2	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	G74362	CA

General Provider Information

NPI Number	:	1073584249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER SCOTT MOW MD

Provider Business Mailing Address
First Line	:	500 E REMINGTON DR
Second Line	:	SUITE 29
City	:	SUNNYVALE
State	:	CA
Zip	:	94087-2657
Country	:	US
Telephone Number	:	408-830-0905
Fax Number	:	408-830-0906

Provider Business Practice Location Address
First Line	:	500 E REMINGTON DR
Second Line	:	SUITE 29
City	:	SUNNYVALE
State	:	CA
Zip	:	94087-2657
Country	:	US
Telephone Number	:	408-830-0905
Fax Number	:	408-830-0906

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	05/06/2024

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