Individual
BETHANY L. GOTTESMAN BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1920 E CAMBRIDGE AVE, PHOENIX, AZ 85006-1459
(602) 933-0935
Mailing address
2108 E THOMAS RD, PHOENIX, AZ 85016-7761
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A156739
CA
208000000X
Pediatrics Physician
A156739
CA
2080P0205X
Pediatric Endocrinology Physician
Primary
52072
AZ
2080P0205X
Pediatric Endocrinology Physician
A156739
CA
Other
Enumeration date
03/19/2014
Last updated
07/21/2022
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