Individual
BRIAN BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 W 3RD ST STE A, CHESTER, PA 19013-3622
(215) 435-4203
Mailing address
1514 SHIPPEN LN SE, WASHINGTON, DC 20020-2946
(202) 569-1036
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
2955963
DC
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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