Basic Information
| Provider Information | |||||||||
| NPI: | 1669588802 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LOWE | ||||||||
| FirstName: | JASON | ||||||||
| MiddleName: | ALLEN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | ORTHOPAEDIC SURGERY | ||||||||
| Address2: | 1501 N CAMPBELL AVE, ROOM# 8401 | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857245064 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5206264024 | ||||||||
| FaxNumber: | 5206262668 | ||||||||
| Practice Location | |||||||||
| Address1: | 707 N ALVERNON WAY STE 205 | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857111847 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5206948000 | ||||||||
| FaxNumber: | 5206948005 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/21/2006 | ||||||||
| LastUpdateDate: | 01/10/2019 | ||||||||
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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 | 207XX0801X | 30252 | AL | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Orthopaedic Trauma | 207X00000X | T2004017096 | MO | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207XX0801X | 52122 | AZ | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Orthopaedic Trauma |
No ID Information.