Individual
JONATHAN BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10423 OLD HAMMOND HWY, BATON ROUGE, LA 70816-8264
(225) 923-0960
(225) 923-3736
Mailing address
10423 OLD HAMMOND HWY, BATON ROUGE, LA 70816-8264
(225) 923-0960
(225) 923-3736
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1585-618T
LA
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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