Organization
BOWERMAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BOWERMAN (OWNER)
(580) 290-7542
Entity
Organization
Contact information
Practice address
500 N WALKER AVE, OKLAHOMA CITY, OK 73102-1619
(405) 290-7542
(405) 290-7576
Mailing address
PO BOX 95435, OKLAHOMA CITY, OK 73143-5435
(405) 290-7542
(405) 290-7576
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/10/2009
Last updated
10/10/2009
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