Individual
DR. RICHARD PAUL SOWLLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
991 BROADWAY, HAMILTON, IL 62341
(217) 847-2693
(217) 847-3980
Mailing address
991 BROADWAY, HAMILTON, IL 62341
(217) 847-2693
(217) 847-3980
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
00489
IA
213E00000X
Podiatrist
Primary
01600419
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004196
—
IL
Enumeration date
05/17/2006
Last updated
07/10/2013
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