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Individual
DR. THEODORE HENRY BOWLUS
Active
Individual
DR. THEODORE HENRY BOWLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-001781
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0340698
—
OH
01
—
H176322
MEDICARE
OH
Enumeration date
07/22/2005
Last updated
04/03/2024
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