Individual
DOUGLAS W BOWERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 COULTER ROAD, CLIFTON SPRINGS, NY 14432
(315) 462-9561
(315) 462-5504
Mailing address
2 COULTER ROAD, CLIFTON SPRINGS, NY 14432-1122
(315) 462-9561
(315) 462-5504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
221124
NY
208M00000X
Hospitalist Physician
Primary
221124
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02168014
—
NY
Enumeration date
10/10/2006
Last updated
03/21/2023
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