Individual
PRENTICE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2716 N TENAYA WAY, 4TH FLOOR, LAS VEGAS, NV 89128-0424
(702) 877-8600
(702) 242-7944
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 877-8600
(702) 242-7944
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01070489A
IN
207R00000X
Internal Medicine Physician
Primary
15771
NV
208M00000X
Hospitalist Physician
15771
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295962900
—
NV
Enumeration date
06/20/2009
Last updated
12/23/2015
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