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Organization
JOSEPH M BOWEN MD PC
Active
Organization
JOSEPH M BOWEN MD PC
Active
Other names
Bowen Orthopedic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH M BOWEN M.D. (PHYSICIAN)
(208) 209-6170
Entity
Organization
Contact information
Practice address
1296 E POLSTON AVE, SUITE B, POST FALLS, ID 83854-5217
(208) 457-7075
(208) 457-7076
Mailing address
PO BOX 3482, POST FALLS, ID 83877-3482
(208) 209-6170
(208) 209-6169
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M10494
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003029034
—
ID
01
—
P00864225
RAILROAD MEDICARE
ID
Enumeration date
05/21/2010
Last updated
06/13/2016
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