Provider Demographics
NPI:1326070251
Name:DOW, RICHARD J (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:J
Last Name:DOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 STRAWBERRY VLG
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-2372
Mailing Address - Country:US
Mailing Address - Phone:415-380-2020
Mailing Address - Fax:415-380-2018
Practice Address - Street 1:1206 STRAWBERRY VLG
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-2372
Practice Address - Country:US
Practice Address - Phone:415-380-2020
Practice Address - Fax:415-380-2018
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG78595208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics