Organization
PAUL BOWN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL C. BOWN MD (OWNER)
(304) 768-7371
Entity
Organization
Contact information
Practice address
4513 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1408
(304) 768-7371
(304) 720-3628
Mailing address
4513 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1408
(304) 768-7371
(304) 720-3628
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20411
WV
2086S0129X
Vascular Surgery Physician
20411
WV
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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