Basic Information
| Provider Information | |||||||||
| NPI: | 1124283296 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | TOWE | ||||||||
| FirstName: | ERIC | ||||||||
| MiddleName: | C. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1417 S. CLIFF AVE., | ||||||||
| Address2: | STE. 010 | ||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571051014 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053223666 | ||||||||
| FaxNumber: | 6053223665 | ||||||||
| Practice Location | |||||||||
| Address1: | 1417 S. CLIFF AVE., | ||||||||
| Address2: | STE. 010 | ||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571051014 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053223666 | ||||||||
| FaxNumber: | 6053223665 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/28/2008 | ||||||||
| LastUpdateDate: | 07/23/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 2008018593 | MO | N | Allopathic & Osteopathic Physicians | Pediatrics | 2080P0202X | 106264 | MN | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Cardiology | 2080P0202X | 55807 | MN | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Cardiology | 2080P0202X | 9522 | SD | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Cardiology | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.