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Organization
BACK TO HEALTH PC
Active
Organization
BACK TO HEALTH PC
Active
Other names
Bowman Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN DEAN BOWMAN DC (PRESIDENT CHIROPRACTOR)
(816) 630-2225
Entity
Organization
Contact information
Practice address
1727 W JESSE JAMES RD, SUITE 5, EXCELSIOR SPRINGS, MO 64024-1846
(816) 630-2225
(816) 637-2225
Mailing address
1727 W JESSE JAMES RD, SUITE 5, EXCELSIOR SPRINGS, MO 64024-1846
(816) 630-2225
(816) 637-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2004003311
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33757039
BLUE CROSS BLUE SHIELD
MO
Enumeration date
07/08/2006
Last updated
08/22/2020
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