# MARVIN A BOWERS III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1548365778
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 21710 | TN | — |
| 207Q00000X | Family Medicine Physician | 65244 | AZ | Yes |
| 208M00000X | Hospitalist Physician | 21710 | TN | — |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 01/26/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 102970 | — | AZ |
| 05 | — | 3063949 | — | TN |
| 01 | — | 4105065 | BLUE CROSS | TN |