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Individual
MARVIN A BOWERS III
Active
Individual
MARVIN A BOWERS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21710
TN
207Q00000X
Family Medicine Physician
Primary
65244
AZ
208M00000X
Hospitalist Physician
21710
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102970
—
AZ
05
—
3063949
—
TN
01
—
4105065
BLUE CROSS
TN
Enumeration date
09/13/2006
Last updated
01/26/2022
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