Individual
DR. JOHN THEODORE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 RIDGEWOOD DR, BANGOR, ME 04401-2652
(207) 945-6200
(207) 990-3015
Mailing address
1 RIDGEWOOD DR, BANGOR, ME 04401-2652
(207) 945-6200
(207) 990-3015
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
EL-05-010
ME
208D00000X
General Practice Physician
E-12105
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11501881
CAQH
—
Enumeration date
09/27/2005
Last updated
05/16/2022
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