Individual
DR. JOHNNY L BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
200 WASHINGTON ST STE E, PURDY, MO 65734-8105
(417) 442-3020
(417) 442-3020
Mailing address
PO BOX 313, PURDY, MO 65734-0313
(417) 442-3020
(417) 442-0101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2365
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115015722
—
AR
Enumeration date
08/19/2005
Last updated
01/28/2019
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