# DR. ROBERT EARL BOWEN

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

## Provider details

- **NPI number:** 1700064136
- **Gender:** Man
- **Credential:** D.C.,

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1011 | AZ | — |
| 111NN1001X | Nutrition Chiropractor | 630 | SC | Yes |

## Other

- **Enumeration date:** 02/07/2008
- **Last updated:** 10/24/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1011 | LICSENCE | AZ |
| 01 | — | 630 | LICENSEE | SC |
| 01 | — | AZ0235340 | BCBS | AZ |