Individual
MR. CHARLES MARTIN BOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3545 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 988-5071
(417) 269-5508
Mailing address
5425 S HONEYSUCKLE LN, BATTLEFIELD, MO 65619-9350
(417) 209-4829
(417) 269-5508
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2005008042
MO
Other
Enumeration date
07/05/2006
Last updated
07/15/2008
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