MEDICARE: RICHARD J DOW M.D.

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	208000000X	Pediatrics Physician	G78595	CA

General Provider Information

NPI Number	:	1326070251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD J DOW M.D.

Provider Business Mailing Address
First Line	:	1206 STRAWBERRY VLG
Second Line	:
City	:	MILL VALLEY
State	:	CA
Zip	:	94941-2372
Country	:	US
Telephone Number	:	415-380-2020
Fax Number	:	415-380-2018

Provider Business Practice Location Address
First Line	:	1206 STRAWBERRY VLG
Second Line	:
City	:	MILL VALLEY
State	:	CA
Zip	:	94941-2372
Country	:	US
Telephone Number	:	415-380-2020
Fax Number	:	415-380-2018

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

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	12/17/2021

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