Organization
SOONER INTERNAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY EUGENE BOWLES M.D. (OWNER)
(417) 781-0224
Entity
Organization
Contact information
Practice address
1002 MC INTOSH CIR, SUITE 1, JOPLIN, MO 64804-3642
(417) 781-0224
(417) 781-0692
Mailing address
1002 MC INTOSH CIR, SUITE 1, JOPLIN, MO 64804-3642
(417) 781-0224
(417) 781-0692
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2001017184
MO
Other
Enumeration date
07/08/2006
Last updated
11/17/2009
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