Individual
GILES BOWMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1138
(304) 831-1267
Mailing address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1138
(304) 831-1267
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
44138
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068391000
—
WV
Enumeration date
04/20/2006
Last updated
07/08/2007
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