Provider Demographics
NPI:1669588802
Name:LOWE, JASON ALLEN (MD)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:ALLEN
Last Name:LOWE
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:ORTHOPAEDIC SURGERY
Mailing Address - Street 2:1501 N CAMPBELL AVE, ROOM# 8401
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85724-5064
Mailing Address - Country:US
Mailing Address - Phone:520-626-4024
Mailing Address - Fax:520-626-2668
Practice Address - Street 1:707 N ALVERNON WAY STE 205
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-1847
Practice Address - Country:US
Practice Address - Phone:520-694-8000
Practice Address - Fax:520-694-8005
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL30252207XX0801X
MOT2004017096207X00000X
AZ52122207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery