Individual
PAUL BOWMAN
Active
Individual
PAUL BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10002570
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0164060
LABOR AND INDUSTRIES
WA
01
—
7480BO
REGENCE
WA
01
—
P00166046
RAILROAD MEDICARE
WA
Enumeration date
11/02/2006
Last updated
07/08/2007
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