Individual
DR. DANIEL MARK BOWERSOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
403 WASHINGTON ST, SHELBYVILLE, KY 40065-1127
(502) 647-3937
(502) 633-7326
Mailing address
403 WASHINGTON ST, SHELBYVILLE, KY 40065-1127
(502) 647-3937
(502) 633-7326
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1301DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77013019
—
KY
Enumeration date
04/19/2006
Last updated
08/19/2010
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