Individual
RUSSELL SCOTT ROWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1507 W MAIN ST, GATESVILLE, TX 76528-1024
(254) 265-7100
Mailing address
3113 RIVER PLACE DR, BELTON, TX 76513-1013
(254) 265-7100
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
J7368
TX
207ND0101X
MOHS-Micrographic Surgery Physician
J7368
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200072318
—
MO
Enumeration date
10/11/2006
Last updated
04/25/2023
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