Provider Demographics
NPI:1013979269
Name:LOWY, JAMES ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ARTHUR
Last Name:LOWY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:652 PETALUMA AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472-4266
Mailing Address - Country:US
Mailing Address - Phone:707-823-2334
Mailing Address - Fax:707-823-3007
Practice Address - Street 1:652 PETALUMA AVE
Practice Address - Street 2:SUITE F
Practice Address - City:SEBASTOPOL
Practice Address - State:CA
Practice Address - Zip Code:95472-4266
Practice Address - Country:US
Practice Address - Phone:707-823-2334
Practice Address - Fax:707-823-3007
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2012-01-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG21122207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G211220Medicaid
CA00G211220Medicaid
A41188Medicare UPIN