# JOSEPH M BOWEN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bowen Orthopedic Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508185174
- **Authorized official:** DR. JOSEPH M BOWEN M.D. (PHYSICIAN)
- **Authorized official phone:** (208) 209-6170

## Contact information

- **Practice address:** 1296 E POLSTON AVE, SUITE B, POST FALLS, ID 83854-5217
- **Practice address phone:** (208) 457-7075
- **Practice address fax:** (208) 457-7076
- **Mailing address:** PO BOX 3482, POST FALLS, ID 83877-3482
- **Mailing address phone:** (208) 209-6170
- **Mailing address fax:** (208) 209-6169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | M10494 | ID | Yes |

## Other

- **Enumeration date:** 05/21/2010
- **Last updated:** 06/13/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1003029034 | — | ID |
| 01 | — | P00864225 | RAILROAD MEDICARE | ID |