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Individual
RICHARD LEE BOWLING
Active
Individual
RICHARD LEE BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17669
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX58571
—
CA
01
—
ZZZ05946Z
GROUP PTAN
—
Enumeration date
10/16/2006
Last updated
04/17/2008
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