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Individual

DAVID ALAN BOWLIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6000 MEMORIAL CHURCH DRIVE, MORGANTOWN, WV 26501
(304) 292-7316
(304) 599-8917
Mailing address
6000 MEMORIAL CHURCH DRIVE, MORGANTOWN, WV 26501
(304) 292-7316
(304) 599-8917

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20459
WV
207R00000X
Internal Medicine Physician
20459
WV
207R00000X
Internal Medicine Physician
35075810
OH
208000000X
Pediatrics Physician
Primary
20459
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110222106
RAILROAD MEDICARE
Enumeration date
01/25/2006
Last updated
06/17/2021
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