Provider Demographics
NPI:1881954535
Name:MCDOWELL, RICHARD LEE (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LEE
Last Name:MCDOWELL
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 1:4833 PIERRE ST
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-1832
Mailing Address - Country:US
Mailing Address - Phone:605-341-2174
Mailing Address - Fax:
Practice Address - Street 1:4833PIERREST
Practice Address - Street 2:
Practice Address - City:RAPIDCITY
Practice Address - State:SD
Practice Address - Zip Code:57702-1832
Practice Address - Country:US
Practice Address - Phone:605-341-2174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD4220207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology