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Individual

DR. JAMES IRA SOWDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1615 O ST, BEDFORD, IN 47421-4116
(812) 275-6155
(812) 278-9405
Mailing address
1615 O ST, BEDFORD, IN 47421-4116
(812) 275-6155
(812) 278-9405

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002066A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000223127
ANTHEM
IN
05
100166710A
IN
Enumeration date
07/25/2006
Last updated
11/26/2008
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