Individual
DR. CHARLES R BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 BALSAM AVE, BOULDER, CO 80304-3404
(303) 440-2273
Mailing address
36 GARDEN CTR, BROOMFIELD, CO 80020-1776
(303) 465-0401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
26326
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01263268
—
CO
01
—
300027140
MEDICARE RAILROAD BRI
CO
01
—
300107612
RAILROAD MEDICARE DMSO CO
CO
Enumeration date
02/17/2006
Last updated
03/24/2016
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