Individual
JOSHUA DAVID BOWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.PA.61234184
WA
363AS0400X
Surgical Physician Assistant
Primary
PA208645
OR
Other
Enumeration date
12/17/2021
Last updated
02/24/2022
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