Healthcare Provider Details

I. General information

NPI: 1174618250
Provider Name (Legal Business Name): JULIAN F ROWE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950C OLD US 66
EDGEWOOD NM
87015-6745
US

IV. Provider business mailing address

1950C OLD US 66
EDGEWOOD NM
87015-6745
US

V. Phone/Fax

Practice location:
  • Phone: 505-884-8900
  • Fax: 505-806-7183
Mailing address:
  • Phone: 505-884-8900
  • Fax: 505-806-7183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number97136
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: