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Organization

MARK T BOWEN INC APC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK T BOWEN D.O. (OWNER)
(318) 992-6103
Entity
Organization

Contact information

Practice address
3190 NORTH 1ST ST, JENA, LA 71342
(318) 992-6103
(318) 992-6106
Mailing address
PO BOX 1410, JENA, LA 71342-1410
(318) 992-6103
(318) 992-6106

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
932-143T
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1370886
LA
Enumeration date
10/18/2010
Last updated
10/18/2010
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