Provider Demographics
NPI:1306996798
Name:LOWE, MICHAEL PAUL (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:PAUL
Last Name:LOWE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:903 E. HWY. 260
Mailing Address - Street 2:SUITE #2
Mailing Address - City:PAYSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85541-4972
Mailing Address - Country:US
Mailing Address - Phone:928-468-2100
Mailing Address - Fax:928-474-7415
Practice Address - Street 1:205 ORCHARD DR
Practice Address - Street 2:
Practice Address - City:SISSETON
Practice Address - State:SD
Practice Address - Zip Code:57262-2398
Practice Address - Country:US
Practice Address - Phone:605-698-7681
Practice Address - Fax:605-698-6423
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2024-04-30
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Provider Licenses
StateLicense IDTaxonomies
AZ29130207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZH41411Medicare UPIN