Individual
DIAN L BOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4045 NW 64TH ST, SUITE 520, OKLAHOMA CITY, OK 73116-1684
(405) 842-4911
Mailing address
4045 NW 64TH ST, SUITE 510, OKLAHOMA CITY, OK 73116-1684
(405) 842-4911
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
836
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00229750
RAILROAD MEDICARE
OK
Enumeration date
09/16/2006
Last updated
01/03/2008
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