Healthcare Provider Details

I. General information

NPI: 1972582377
Provider Name (Legal Business Name): DAVID STEWART ROWE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

599 SIR FRANCIS DRAKE BLVD SUITE 102
GREENBRAE CA
94904-1730
US

IV. Provider business mailing address

599 SIR FRANCIS DRAKE BLVD SUITE 102
GREENBRAE CA
94904-1730
US

V. Phone/Fax

Practice location:
  • Phone: 415-461-0440
  • Fax: 415-461-3792
Mailing address:
  • Phone: 415-461-0440
  • Fax: 415-461-3792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC30782
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: