Provider Demographics
NPI:1346449691
Name:ROWLEY, DAVID EDWARD (NAVY IDC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:EDWARD
Last Name:ROWLEY
Suffix:
Gender:M
Credentials:NAVY IDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USS CARR (FFG 52)
Mailing Address - Street 2:FPO-AE
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:09566-1506
Mailing Address - Country:US
Mailing Address - Phone:757-445-6510
Mailing Address - Fax:
Practice Address - Street 1:USS CARR
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:USA
Practice Address - Zip Code:09566-1506
Practice Address - Country:UM
Practice Address - Phone:757-445-1506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1710I1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman