Individual
DR. JASON TYLER LOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 PASTEUR DR, EMERGENCY MED. - M121-MC:5119, STANFORD, CA 94305-2200
(650) 725-9445
Mailing address
300 PASTEUR DR, EMERGENCY MED. - M121-MC:5119, STANFORD, CA 94305-2200
(650) 725-9445
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A8709
CA
208000000X
Pediatrics Physician
OS9838
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
8709
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276281100
—
FL
05
—
490287317A
—
GA
01
—
56453
BCBS
FL
Enumeration date
08/17/2006
Last updated
07/23/2015
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