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NPI Code Detail

MEDICARE: ANDREW D. MOWERY DO

MEDICARE: ANDREW D. MOWERY DO
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
1207R00000XInternal Medicine Physician0102204131VA
2207RG0100XGastroenterology Physician0102204131VA

General Provider Information

NPI Number : 1104084896
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW D. MOWERY DO
Provider Business Mailing Address
First Line : 7109 GUILFORD DR STE 300
Second Line :
City : FREDERICK
State : MD
Zip : 21704-5179
Country : US
Telephone Number : 13-695-6800
Fax Number : 301-695-6891
Provider Business Practice Location Address
First Line : 7109 GUILFORD DR STE 300
Second Line :
City : FREDERICK
State : MD
Zip : 21704-5179
Country : US
Telephone Number : 301-695-6800
Fax Number : 301-695-6891
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2008
Last Update Date : 11/07/2023

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