Individual
MR. BRIAN BOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2683 WINCHESTER AVE, PHILADELPHIA, PA 19152-2148
(215) 813-6334
Mailing address
2683 WINCHESTER AVE, PHILADELPHIA, PA 19152-2148
(215) 813-6334
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005523
PA
Other
Enumeration date
08/25/2014
Last updated
01/20/2015
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