Organization
INDIAN HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY MCDOWELL ROSS MCDOWELL BS, CDS II (SUBSTANCE ABUSE SPECIALIST)
(928) 448-2641
Entity
Organization
Contact information
Practice address
312 MAIN STREET, SUPAI, AZ 86435-0129
(928) 448-2641
(928) 448-2312
Mailing address
PO BOX 129, SUPAI, AZ 86435-0129
(928) 448-2641
(928) 448-2312
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
07/07/2008
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