Individual
JEFFERY BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
525 NORTH AVE, GRAND JUNCTION, CO 81501-7512
(970) 424-5030
Mailing address
3198 F RD, GRAND JUNCTION, CO 81504-4032
(970) 434-4891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33664
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01336643
—
CO
01
—
BOU3618
BLUE CROSS
CO
Enumeration date
06/14/2006
Last updated
05/02/2022
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