Individual
MARCI LEE BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
134 W MAIN ST, STE 11, TRINIDAD, CO 81082-2604
(719) 846-6300
(719) 846-9500
Mailing address
134 W MAIN ST, STE 11, TRINIDAD, CO 81082-2604
(719) 846-6300
(719) 846-9500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
41164
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13070347
—
CO
01
—
160059952
PALMETTO GBA
CO
01
—
82876827
NEW MEDICO MEDICAID
CO
01
—
NM009F55
NEW MEXICO BLUE CROSS
CO
Enumeration date
06/22/2006
Last updated
02/29/2012
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