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Individual
THOMAS BOWERS JR.
Active
Individual
THOMAS BOWERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
28180492A
IN
367500000X
Certified Registered Nurse Anesthetist
700952
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9366405
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001024914
ANTHEM PROVIDER NUMBER UNDER TIN 35-2030653
IN
05
—
201346220
—
IN
Enumeration date
11/18/2015
Last updated
05/18/2023
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