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NPI Code Detail

MEDICARE: SEAN B DOW MD PC

MEDICARE: SEAN B DOW MD PC
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
1207RP1001XPulmonary Disease PhysicianMD18271OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619900891
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEAN B DOW MD PC
Provider Business Mailing Address
First Line : PO BOX 5109
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-0119
Country : US
Telephone Number : 541-882-1540
Fax Number : 541-882-2583
Provider Business Practice Location Address
First Line : 2850 DAGGETT AVE
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-1107
Country : US
Telephone Number : 541-205-6081
Fax Number : 541-205-6078
Authorized Official
Title or Position : OWNER
Name : SEAN B DOW
Credential : M.D.
Telephone Number : 541-205-6081
Provider Enumeration Date : 07/09/2006
Last Update Date : 07/23/2008

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