Individual
DR. ROGER BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2209 GENESEE ST, UTICA, NY 13501-5930
(315) 798-8171
(315) 734-3084
Mailing address
4567 CROSSROADS PARK DR, 2ND FLOOR, LIVERPOOL, NY 13088-3589
(315) 295-2100
(315) 295-2125
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
148977
NY
2085R0202X
Diagnostic Radiology Physician
Primary
148977
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00708250
—
NY
Enumeration date
08/17/2005
Last updated
03/12/2008
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