Organization
MARYLAND MEDICAL GROUP LTD
Active
Organization
MARYLAND MEDICAL GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM G BOWEN MD (PRESIDENT)
(314) 367-3113
Entity
Organization
Contact information
Practice address
1110 HIGHLANDS PLAZA DRIVE EAST, SUITE 375, SAINT LOUIS, MO 63110-1340
(314) 367-3113
(314) 367-6491
Mailing address
1110 HIGHLANDS PLAZA DR E, SUITE 375, SAINT LOUIS, MO 63110-1340
(314) 367-3113
(314) 367-6491
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/22/2006
Last updated
10/01/2008
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