Organization
JAMES T BOWLUS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES T BOWLUS M.D. (PRESIDENT)
(419) 331-0443
Entity
Organization
Contact information
Practice address
610 E KIRACOFE AVE, ELIDA, OH 45807-1034
(419) 331-0443
(419) 331-3137
Mailing address
PO BOX 3097, ELIDA, OH 45807-0097
(419) 331-0443
(419) 331-3137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35036062
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012675073
RAILROAD MEDICARE
OH
05
—
0305146
—
OH
Enumeration date
10/02/2007
Last updated
11/15/2007
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