Individual
MR. FREDERICK BLANCHARD BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4880 WYNN RD, LAS VEGAS, NV 89103-5406
(702) 871-5005
(702) 873-9280
Mailing address
PO BOX 1737, LAS VEGAS, NV 89125-1737
(702) 671-6845
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
314
NV
Other
Enumeration date
05/24/2005
Last updated
11/12/2007
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