Provider Demographics
NPI:1467705186
Name:MCDOWELL, ANDREW SPENCER (PA-C)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:SPENCER
Last Name:MCDOWELL
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Gender:
Credentials:PA-C
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Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2211 LOMAS BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-2719
Mailing Address - Country:US
Mailing Address - Phone:505-272-2111
Mailing Address - Fax:804-767-4418
Practice Address - Street 1:2211 LOMAS BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-2719
Practice Address - Country:US
Practice Address - Phone:505-272-2111
Practice Address - Fax:804-767-4418
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0110003938363A00000X
FLPA9114239363A00000X
NMPA2016-0107363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant