Individual
RUSSELL BOWERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8244
Mailing address
51 N 39TH ST, 2 WRIGHT SAUNDERS, PHILADELPHIA, PA 19104-2640
(215) 662-8244
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN302132L
PA
Other
Enumeration date
01/13/2009
Last updated
08/10/2012
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