Individual
CHARLES BOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 GENE GEORGE BLVD, SPRINGDALE, AR 72762-0845
(479) 725-6880
(479) 725-6582
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
C-6793
AR
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
C-6793
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117391001
—
AR
Enumeration date
10/13/2006
Last updated
10/05/2018
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