Individual
TARA LOWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
26720 N 10TH LN, PHOENIX, AZ 85085-6379
(602) 919-0486
Mailing address
26720 N 10TH LN, PHOENIX, AZ 85085-6379
(602) 919-0486
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
2000001843
AZ
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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