Healthcare Provider Details

I. General information

NPI: 1053314708
Provider Name (Legal Business Name): DAN E ROWE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DAN E ROWE M.D.

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 07/19/2024
Certification Date: 07/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1661 LUCERNE ST
MINDEN NV
89423-4381
US

IV. Provider business mailing address

1661 LUCERNE ST
MINDEN NV
89423-4381
US

V. Phone/Fax

Practice location:
  • Phone: 775-782-0700
  • Fax: 775-782-0500
Mailing address:
  • Phone: 775-782-0700
  • Fax: 775-782-0500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number6825
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number6825
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: