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Individual

DR. JAMES C BOWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
226 MAIN STREET, ROSICLARE, IL 62982
(618) 285-3930
Mailing address
13245 KESSLER RD, PO BOX 233, CAIRO, IL 62914-3101
(618) 734-4400

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019021859
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019021859
IL
Enumeration date
12/19/2007
Last updated
12/19/2007
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