Provider Demographics
NPI:1649209636
Name:LOWRY, TERRY W (MD)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:W
Last Name:LOWRY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:655 N ALVERNON WAY
Mailing Address - Street 2:SUITE 216
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-1823
Mailing Address - Country:US
Mailing Address - Phone:520-547-4906
Mailing Address - Fax:520-795-0225
Practice Address - Street 1:1151 S LA CANADA DR
Practice Address - Street 2:
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85614-1943
Practice Address - Country:US
Practice Address - Phone:520-625-3230
Practice Address - Fax:520-625-9162
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AZ15838207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZF19222Medicare UPIN