Jonathan E Fow MD INC

NPI #1225192487 in Morro Bay, California

Provider Information

NPI Number: 1225192487
Entity Type: Organization
Organization Name: Jonathan E Fow MD INC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Dec 21, 2006
Last Updated: Feb 11, 2011

Practice Location

Address: 691 MORRO AVE
City: Morro Bay
State: California
ZIP Code: 93442-2233
Phone: (805) 473-0700

Authorized Official

Name: JONATHAN ELDREDGE FOW, MD
Title: PRESIDENT
Phone: (805) 473-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Orthopaedic Surgery	207X00000X	Primary

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