Provider Demographics
NPI:1285601112
Name:ROWLEY, JOHN M (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:M
Last Name:ROWLEY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4545 E CHANDLER BLVD
Mailing Address - Street 2:STE 110
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-7647
Mailing Address - Country:US
Mailing Address - Phone:480-759-3001
Mailing Address - Fax:480-759-1341
Practice Address - Street 1:15810 S 45TH ST
Practice Address - Street 2:SUITE 140
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-7694
Practice Address - Country:US
Practice Address - Phone:480-759-3001
Practice Address - Fax:480-759-1341
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2020-06-09
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Provider Licenses
StateLicense IDTaxonomies
AZ286622086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ691916Medicaid
AZZ70104Medicare PIN
ARH60831Medicare UPIN