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Individual

WAYNE BOWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-6301
(319) 356-2587
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-6301
(319) 356-2587

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00484
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0460550
IA
01
46974
WELLMARK BCBS
IA
Enumeration date
09/19/2005
Last updated
11/28/2007
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