Provider Demographics
NPI:1558304527
Name:ROWE, CYNTHIA (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:
Last Name:ROWE
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 1:1308 E KIEHL AVE
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-3040
Mailing Address - Country:US
Mailing Address - Phone:501-835-0703
Mailing Address - Fax:501-834-6249
Practice Address - Street 1:1308 E KIEHL AVE
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-3040
Practice Address - Country:US
Practice Address - Phone:501-835-0703
Practice Address - Fax:501-834-6249
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-7763207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR55802OtherBLUE CROSS
AR03030015701OtherQUALCHOICE
AR121874001Medicaid
AR4657513OtherAETNA
AR340638OtherHEALTHLINK
AR55802OtherBLUE CROSS
AR55802Medicare PIN
AR340638OtherHEALTHLINK
AR121874001Medicaid