Provider Demographics
NPI:1336100908
Name:MCDOWELL, SYDNEY JAMES (MSPT)
Entity Type:Individual
Prefix:MS
First Name:SYDNEY
Middle Name:JAMES
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2998 CALIFORNIA ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2433
Mailing Address - Country:US
Mailing Address - Phone:415-235-3834
Mailing Address - Fax:415-799-3301
Practice Address - Street 1:1 EMBARCADERO CTR LBBY LEVEL
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111
Practice Address - Country:US
Practice Address - Phone:415-235-3834
Practice Address - Fax:415-799-3301
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT28859174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0PT288590Medicare ID - Type Unspecified