Organization
U. S. COAST GUARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J RUSSELL BOWMAN MD (FLIGHT SURGEON)
(907) 966-5537
Entity
Organization
Contact information
Practice address
611 AIRPORT DR, SITKA, AK 99835-9436
(907) 966-5438
(907) 966-5491
Mailing address
COMDT (CG-1122), 2100 2ND ST SW ROOM 5314, WASHINGTON, DC 20593-0001
(907) 966-5438
(907) 966-5491
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
DC
Other
Enumeration date
01/30/2006
Last updated
08/22/2020
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