Individual
DR. IAN STUART HALLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O. CAQ-SM
Contact information
Practice address
520 SW RAMSEY AVE, GRANTS PASS, OR 97527-5535
(541) 472-7810
Mailing address
520 SW RAMSEY AVE, GRANTS PASS, OR 97527-5535
(541) 472-7810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO199411
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/10/2014
Last updated
01/13/2021
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