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Contact Information

JERRY L LOWDER, MD
4901 FOREST PARK AVE
DIV OBGYN PELVIC MED/RECONSTRUCT SURG, STE 710
SAINT LOUIS, MO63108-1495
 Phone: 314-747-1402
 Fax: 314-362-3328
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for JERRY L LOWDER · (Male)

NPI # 1619941879
Status Active
Credentials MD
Entity Individual
Enumeration date 02/15/2006
Last updated 04/17/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 2013044288
  • MO Medicaid 200011086
Hospital affiliation(s)
  • BARNES JEWISH HOSPITAL - (Acute Care)
    ONE BARNES-JEWISH HOSPITAL PLAZA
    SAINT LOUIS, MO 63110
  • BARNES-JEWISH WEST COUNTY HOSPITAL - (Acute Care)
    12634 OLIVE BOULEVARD
    CREVE COEUR, MO 63141
  • CHRISTIAN HOSPITAL NORTHEAST - (Acute Care)
    11133 DUNN ROAD
    SAINT LOUIS, MO 63136
  • MISSOURI BAPTIST MEDICAL CENTER - (Acute Care)
    3015 N BALLAS RD
    TOWN AND COUNTRY, MO 63131
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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