Individual
GARRETT C LOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 N CANYON RD STE D, PROVO, UT 84604-4678
(801) 373-3300
(801) 354-7900
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
105604
MN
207N00000X
Dermatology Physician
54498
MN
207N00000X
Dermatology Physician
Primary
9342244-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
01
—
P01147451
MEDICARE RAILROAD
MN
Enumeration date
07/01/2011
Last updated
08/14/2017
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