Provider Demographics
NPI:1255427985
Name:LOWHAM, ANTHONY STEVE (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:STEVE
Last Name:LOWHAM
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 1:195 CAPITOL ST
Mailing Address - Street 2:
Mailing Address - City:LANDER
Mailing Address - State:WY
Mailing Address - Zip Code:82520-3928
Mailing Address - Country:US
Mailing Address - Phone:307-332-6222
Mailing Address - Fax:307-332-6223
Practice Address - Street 1:195 CAPITOL ST
Practice Address - Street 2:
Practice Address - City:LANDER
Practice Address - State:WY
Practice Address - Zip Code:82520-3928
Practice Address - Country:US
Practice Address - Phone:307-332-6222
Practice Address - Fax:307-332-6223
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY6284A208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY308021OtherBLUE SHIELD
G93013Medicare UPIN
W308021Medicare ID - Type Unspecified