Individual
RICHARD K. BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
220 15TH AVE SE STE C, PUYALLUP, WA 98372-3797
(253) 435-3400
Mailing address
220 15TH AVE SE STE C, PUYALLUP, WA 98372-3797
(253) 435-3400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00001371
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8140584
—
WA
Enumeration date
10/12/2005
Last updated
04/23/2021
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