Provider Demographics
NPI:1851396105
Name:HOWLEY, JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:HOWLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 N RIM DR
Mailing Address - Street 2:STE B
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-3138
Mailing Address - Country:US
Mailing Address - Phone:928-779-3343
Mailing Address - Fax:928-779-3609
Practice Address - Street 1:1330 N RIM DR
Practice Address - Street 2:STE B
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-3138
Practice Address - Country:US
Practice Address - Phone:928-779-3343
Practice Address - Fax:928-779-3609
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ22390207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ104418Medicare PIN