MEDICARE: NATHAN JOWETT MD, PHD

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	207Y00000X	Otolaryngology Physician	265787	MA
2	207YS0123X	Facial Plastic Surgery Physician	265787	MA
3	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	265787	MA

General Provider Information

NPI Number	:	1750790663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHAN JOWETT MD, PHD

Provider Business Mailing Address
First Line	:	7301 E 2ND ST STE 300
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-5627
Country	:	US
Telephone Number	:	480-520-3223
Fax Number	:

Provider Business Practice Location Address
First Line	:	7301 E 2ND ST STE 300
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-5627
Country	:	US
Telephone Number	:	480-520-3223
Fax Number	:	617-744-2535

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

Provider Enumeration Date	:	08/05/2014
Last Update Date	:	03/21/2025

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