Provider Demographics
NPI:1366980807
Name:ROBERT M LOWE MD PHD PLLC
Entity type:Organization
Organization Name:ROBERT M LOWE MD PHD PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:702-686-9239
Mailing Address - Street 1:3017 W CHARLESTON BLVD STE 50
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-1987
Mailing Address - Country:US
Mailing Address - Phone:702-686-9239
Mailing Address - Fax:702-995-2124
Practice Address - Street 1:3017 W CHARLESTON BLVD STE 50
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1987
Practice Address - Country:US
Practice Address - Phone:702-686-9239
Practice Address - Fax:702-995-2124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0216XAllopathic & Osteopathic PhysiciansPediatricsPediatric RheumatologyGroup - Multi-Specialty