Individual
DR. SALLY M BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1881 NANI ST, WAILUKU, HI 96793-1811
(808) 871-7772
Mailing address
2740 LIHOLANI ST UNIT 17, MAKAWAO, HI 96768-8462
(808) 280-9185
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101-241665
VA
208000000X
Pediatrics Physician
Primary
16137
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101-241665
STATE MEDICAL LICENSE
VA
Enumeration date
05/02/2007
Last updated
08/17/2021
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