Organization
MARYLAND MEDICAL GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM G BOWEN MD (PRESIDENT)
(314) 367-3113
Entity
Organization
Contact information
Practice address
222 S WOODS MILL RD, SUITE 350N, CHESTERFIELD, MO 63017-3625
(314) 205-6557
Mailing address
222 S WOODS MILL RD, SUITE 350N, CHESTERFIELD, MO 63017-3625
(314) 205-6557
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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