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Individual

JOHN E LOWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6028 S RIDGELINE DR, SUITE 201, OGDEN, UT 84405-6914
(801) 475-5400
(801) 475-8614
Mailing address
6028 S RIDGELINE DR, SUITE 201, OGDEN, UT 84405-6914
(801) 475-5400
(801) 475-8614

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
162114-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2900071
UNITED HEALTHCARE
01
870653164
MAINHANDLERS
05
870653164002
UT
Enumeration date
09/22/2005
Last updated
09/23/2010
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