Provider Demographics
NPI:1457355265
Name:DOW, STEPHEN D (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:D
Last Name:DOW
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 1:85 KIRMAN AVE
Mailing Address - Street 2:STE 303
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1344
Mailing Address - Country:US
Mailing Address - Phone:775-329-8423
Mailing Address - Fax:775-329-7993
Practice Address - Street 1:85 KIRMAN AVE
Practice Address - Street 2:STE 303
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1344
Practice Address - Country:US
Practice Address - Phone:775-329-8423
Practice Address - Fax:775-329-7993
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2171207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2016144Medicaid
NVMD2171Medicare PIN
NV2016144Medicaid