Organization
SAN DIEGO UROLOGICAL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALTON HOWARD LOWE M.D. (PRESIDENT, CEO & OWNER)
(619) 697-2456
Entity
Organization
Contact information
Practice address
8851 CENTER DR, STE 501, LA MESA, CA 91942-3058
(619) 697-2456
(619) 697-2494
Mailing address
8851 CENTER DR, STE 501, LA MESA, CA 91942-3058
(619) 697-2456
(619) 697-2494
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ49499Z
—
CA
Enumeration date
11/15/2006
Last updated
03/25/2009
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