Organization
BOWIE INTERNAL MEDICINE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE MCCONKEY (OFFICE MANAGER)
(301) 262-8188
Entity
Organization
Contact information
Practice address
14999 HEALTH CENTER DR., SUITE 201, BOWIE, MD 20716-1087
(301) 262-8188
(301) 464-8233
Mailing address
14999 HEALTH CENTER DR., SUITE 201, BOWIE, MD 20716-1087
(301) 262-8188
(301) 464-8233
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
982841900
—
MD
Enumeration date
09/13/2006
Last updated
03/29/2017
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