Individual
CHRISTOPHER BOWERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1221 BANGOR ST, SAN DIEGO, CA 92106-2407
(619) 674-6297
Mailing address
1221 BANGOR ST, SAN DIEGO, CA 92106-2407
(619) 674-6297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2023
Last updated
11/14/2024
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