Provider Demographics
NPI:1326059239
Name:DOWELL, PAMELA ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:ANNE
Last Name:DOWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1834 E INNOVATION PARK DR
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85755
Mailing Address - Country:US
Mailing Address - Phone:520-825-9656
Mailing Address - Fax:520-818-2525
Practice Address - Street 1:1834 E INNOVATION PARK DR
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85755-1963
Practice Address - Country:US
Practice Address - Phone:520-825-9656
Practice Address - Fax:520-818-2525
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ28409207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ86100229485739A003OtherCHAMPUS
AZ28409OtherSTATE LICENSE NUMBER
AZAZ04553OtherMCARE SUB ID
AZ110209396OtherMEDICARE RR ID
AZAZ0877230OtherBLUE CROSS ID
AZ861002294OtherTAX ID#
AZ1Z7680OtherHEALTHNET ID
AZH30483Medicare UPIN
Z63417Medicare PIN