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Individual

CARISSA BOWIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1016 WESTRIDGE ST SW, BONDURANT, IA 50035-1507
(515) 577-4058
Mailing address
3390 NE 96TH ST, ALTOONA, IA 50009-8717

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
118434
IA
363A00000X
Physician Assistant
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
09/14/2022
Last updated
02/13/2025
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