Provider Demographics
NPI:1336405752
Name:MOWLDS, DONALD STEWART JR (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:STEWART
Last Name:MOWLDS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1441 AVOCADO AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-7703
Mailing Address - Country:US
Mailing Address - Phone:949-721-0494
Mailing Address - Fax:
Practice Address - Street 1:1441 AVOCADO AVE STE 203
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660
Practice Address - Country:US
Practice Address - Phone:949-721-0494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-10
Last Update Date:2018-06-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA129690208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery