Individual
RUSSELL LOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6405 S 3000 E STE 201, SALT LAKE CITY, UT 84121-6990
(801) 266-3113
Mailing address
6405 S 3000 E STE 300, SALT LAKE CITY, UT 84121-6977
(801) 266-3113
(801) 266-5633
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
—
—
213E00000X
Podiatrist
Primary
13683037-0501
UT
Other
Enumeration date
09/11/2018
Last updated
02/05/2024
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