Individual
E DIANE BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1219
(505) 727-6900
Mailing address
4001 INDIAN SCHOOL RD NE, SUITE 325, ALBUQUERQUE, NM 87110-3816
(505) 727-5785
(505) 727-9770
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
88-11
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E2245
—
NM
Enumeration date
07/11/2006
Last updated
05/16/2011
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