Provider Demographics
NPI:1699730333
Name:MOWERY, ROBERT F (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:F
Last Name:MOWERY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:509 GERMANTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19444
Mailing Address - Country:US
Mailing Address - Phone:610-828-7570
Mailing Address - Fax:610-941-3915
Practice Address - Street 1:509 GERMANTOWN PIKE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE HILL
Practice Address - State:PA
Practice Address - Zip Code:19444
Practice Address - Country:US
Practice Address - Phone:610-828-7570
Practice Address - Fax:610-941-3915
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD019536E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1015499OtherKEYSTONE MERCY
1246546004OtherCIGNA
2484OtherAETNA HMO
4101494OtherAETNA PPO
1333496OtherFIRST HEALTH NETWORK
PA154630OtherPA BLUE SHIELD
MOP072OtherOXFORD
PA154630OtherPA BLUE SHIELD
B40091Medicare UPIN