Provider Demographics
NPI:1013933241
Name:TOWLER, DWIGHT ARNOLD (MD)
Entity Type:Individual
Prefix:DR
First Name:DWIGHT
Middle Name:ARNOLD
Last Name:TOWLER
Suffix:
Gender:M
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:P.O. BOX 845347
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-5347
Mailing Address - Country:US
Mailing Address - Phone:214-645-2800
Mailing Address - Fax:214-645-0078
Practice Address - Street 1:3315 BERRYWOOD DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-8373
Practice Address - Country:US
Practice Address - Phone:573-882-3818
Practice Address - Fax:573-884-4609
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ3116207RE0101X
MO2024012123207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO207698416Medicaid
023110183Medicare PIN
MO207698416Medicaid
110127449Medicare PIN
IL$$$$$$$$$Medicaid