Basic Information
Provider Information
NPI: 1952725327
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LOW
FirstName: PETER
MiddleName: NEIL
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 421
Address2:  
City: LIBERTY LAKE
State: WA
PostalCode: 990190421
CountryCode: US
TelephoneNumber: 8667472455
FaxNumber: 5092277070
Practice Location
Address1: 421 S DIVISION ST STE 2
Address2:  
City: SPOKANE
State: WA
PostalCode: 992021331
CountryCode: US
TelephoneNumber: 5094745858
FaxNumber: 5092277070
Other Information
ProviderEnumerationDate: 02/06/2014
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XMD60536390WAN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XG80727CAN Allopathic & Osteopathic PhysiciansFamily Medicine 
2083X0100XG80727CAN Allopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
2083X0100XMD60536390WAY Allopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine

No ID Information.


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