Provider Demographics
NPI:1275549222
Name:LOWE, EUGENE WALPER JR (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:WALPER
Last Name:LOWE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1615 OAKWOOD STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:BEDFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24523-1250
Mailing Address - Country:US
Mailing Address - Phone:540-586-3089
Mailing Address - Fax:540-586-5724
Practice Address - Street 1:1615 OAKWOOD STREET
Practice Address - Street 2:SUITE B
Practice Address - City:BEDFORD
Practice Address - State:VA
Practice Address - Zip Code:24523-1250
Practice Address - Country:US
Practice Address - Phone:540-586-3089
Practice Address - Fax:540-586-5724
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101050642208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA684208003OtherCIGNA
VA0004535880OtherAETNA
VA007301502Medicaid
VA086680OtherANTHEM
VA684208003OtherCIGNA
VA007301502Medicaid
VAF78146Medicare UPIN