Individual
MR. GERARD JOHN BOWEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHA, ATC
Contact information
Practice address
2571 HIGHWAY 171, STONEWALL, LA 71078-9423
(318) 925-6917
Mailing address
6034 BRAEBURN CT, BOSSIER CITY, LA 71111-5746
(318) 549-3421
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/12/2006
Last updated
06/16/2010
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