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Individual
MR. RYAN MCDONOUGH BOWSER
Active
Individual
MR. RYAN MCDONOUGH BOWSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08620
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0397730007
NSC #
NC
05
—
1740249242
—
NC
05
—
3882PA
—
SC
Enumeration date
03/22/2006
Last updated
04/07/2022
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