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Individual

BRIAN L. BOWYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
480 MEDICAL CENTER DR, COLUMBUS, OH 43210-1229
(614) 293-7604
(614) 293-3809
Mailing address
700 ACKERMAN RD, SUITE 395, COLUMBUS, OH 43202-1559
(614) 947-3700
(614) 947-3771

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35052275
OH
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
35052275
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0659612
OH
Enumeration date
05/25/2006
Last updated
03/23/2011
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