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Individual
DR. ROBERT EARL BOWEN
Active
Individual
DR. ROBERT EARL BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.,
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1011
AZ
111NN1001X
Nutrition Chiropractor
Primary
630
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011
LICSENCE
AZ
01
—
630
LICENSEE
SC
01
—
AZ0235340
BCBS
AZ
Enumeration date
02/07/2008
Last updated
10/24/2012
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