Individual
DEREK THOMAS BOWDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11820 NW 131ST ST, PIEDMONT, OK 73078-3014
(405) 933-8651
Mailing address
11820 NW 131ST ST, PIEDMONT, OK 73078-3014
(405) 933-8651
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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