Individual
DR. LARRY DONNELL BOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 VALLEY DR, PAULS VALLEY, OK 73075-6613
(405) 238-5501
Mailing address
2324 W TECUMSEH ST, TULSA, OK 74127-2214
(918) 587-2923
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13178
OK
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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