Individual
BRADLEY P BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3355 FOOTHILL RD, MOSCOW, ID 83843-8765
(509) 332-2517
(509) 334-9247
Mailing address
825 SE BISHOP BLVD STE 200, PULLMAN, WA 99163-5537
(509) 332-2517
(509) 334-9247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00045278
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807307400
—
ID
05
—
8431546
—
WA
Enumeration date
07/07/2006
Last updated
07/09/2007
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