MEDICARE: SHAWN ALLEN ROWLES M.D.

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
1	208000000X	Pediatrics Physician	13611	NV

General Provider Information

NPI Number	:	1730387176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWN ALLEN ROWLES M.D.

Provider Business Mailing Address
First Line	:	6920 S CIMARRON RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2135
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7690 CARMEN BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-3639
Country	:	US
Telephone Number	:	702-255-7399
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2007
Last Update Date	:	05/07/2021

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