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Individual

J RUSSELL BOWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO, MS, MHA

Contact information

Practice address
8540 SCARBOROUGH DR STE 100, COLORADO SPRINGS, CO 80920-7518
(719) 364-6970
(719) 365-7667
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-1103
(720) 718-0994

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4928
AK
207Q00000X
Family Medicine Physician
Primary
DR.0061591
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD08671
AK
Enumeration date
08/12/2005
Last updated
02/24/2021
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