Individual
MADISON LEIGH BOWYER PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-5285
(256) 479-0208
Mailing address
4615 N FERDINAND ST, TACOMA, WA 98407-4412
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116031595
VA
207Q00000X
Family Medicine Physician
Primary
2022-02086
NC
Other
Enumeration date
06/18/2018
Last updated
10/21/2023
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